Organization
EXPRESS HOMESERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZY JABAGURYAN (CEO)
(818) 452-5484
Entity
Organization
Contact information
Practice address
13515 VICTORY BLVD SUITE 207, VAN NUYS, CA 91401
(818) 452-5484
Mailing address
13515 VICTORY BLVD SUITE 207, VAN NUYS, CA 91401
(818) 452-5484
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
07/12/2019
Last updated
07/12/2019
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