Organization
AMPM HOME HEALTH AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARKIS MARONIAN (PRESIDENT)
(818) 552-3595
Entity
Organization
Contact information
Practice address
664 W BROADWAY, GLENDALE, CA 91204-1008
(818) 552-3595
Mailing address
664 W BROADWAY, GLENDALE, CA 91204-1008
(818) 552-3595
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
550000388
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1872938
—
CA
Enumeration date
10/23/2009
Last updated
10/23/2009
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