Organization
FIFTH AVE HOME HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ASHOT MINASYAN (CFO)
(818) 243-0611
Entity
Organization
Contact information
Practice address
5250 SANTA MONICA BLVD, SUITE 208 B, LOS ANGELES, CA 90029-1252
(323) 644-6807
(323) 644-6897
Mailing address
5250 SANTA MONICA BLVD, SUITE 208 B, LOS ANGELES, CA 90029-1252
(323) 644-6807
(323) 644-6897
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
550000922
CA
Other
Enumeration date
06/02/2007
Last updated
01/06/2011
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