Organization
HERITAGE CONGREGATE LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAGIK HARUTYUNYAN (OWNER)
(818) 331-1215
Entity
Organization
Contact information
Practice address
7051 RHEA AVE, RESEDA, CA 91335-4006
(818) 331-1215
Mailing address
7051 RHEA AVE, RESEDA, CA 91335-4006
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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