Organization
LA HOME HEALTH AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER LYUBENKOV (CEO/ADMIN)
(818) 434-1921
Entity
Organization
Contact information
Practice address
21133 VICTORY BLVD STE 215, CANOGA PARK, CA 91303-4006
(310) 562-7382
Mailing address
21801 BURBANK BLVD UNIT 68, WOODLAND HILLS, CA 91367-6415
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/14/2019
Last updated
04/14/2019
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