Organization
FOUNTAIN HOME HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL KHACHAKYAN (OWNER)
(602) 548-1818
Entity
Organization
Contact information
Practice address
15820 N 35TH AVE STE 28, PHOENIX, AZ 85053-7607
(602) 548-1818
(602) 545-1819
Mailing address
15820 N 35TH AVE STE 28, PHOENIX, AZ 85053-7607
(602) 548-1818
(602) 545-1819
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/02/2008
Last updated
12/02/2008
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