Organization
KAE HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDGAR GRIGORYAN (CEO,CFO,SECRETARY)
(747) 297-2863
Entity
Organization
Contact information
Practice address
12444VICTORY BLVD STE 301-T, NORTH HOLLYWOOD, CA 91606
(747) 297-2863
(747) 297-2864
Mailing address
12444VICTORY BLVD STE 301-T, NORTH HOLLYWOOD, CA 91606
(747) 297-2863
(747) 297-2864
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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