Organization
MAMMOTH HOME HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HRANT NAZARIAN (CEO)
(818) 208-6769
Entity
Organization
Contact information
Practice address
13743 VICTORY BLVD STE A, VAN NUYS, CA 91401-2316
(818) 208-6769
Mailing address
13743 VICTORY BLVD STE A, VAN NUYS, CA 91401-2316
(818) 208-6769
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1
—
CA
Enumeration date
03/14/2019
Last updated
03/14/2019
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