Organization
GOODWILL HOME HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE JAVANMARD (CEO)
(818) 500-7433
Entity
Organization
Contact information
Practice address
644 W BROADWAY, SUITE 100, GLENDALE, CA 91204-1059
(818) 500-7433
Mailing address
22151 VENTURA BLVD, SUITE 202, WOODLAND HILLS, CA 91364-1666
(818) 500-7433
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
CA
Other
Enumeration date
05/30/2007
Last updated
08/18/2014
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