Organization
AVON HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASADOUR PONCHUKYAN (CEO)
(818) 626-5917
Entity
Organization
Contact information
Practice address
14328 VICTORY BLVD STE 207, VAN NUYS, CA 91401-6512
(818) 600-5917
(818) 600-4785
Mailing address
14328 VICTORY BLVD STE 207, VAN NUYS, CA 91401-6512
(818) 600-5917
(818) 600-4785
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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