Organization
CORE HOME HEALTH AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GURAM MARGALITZADE (CHIEF EXECUTIVE OFFICER)
(818) 637-2673
Entity
Organization
Contact information
Practice address
421 ARDEN AVE, SUITE B, GLENDALE, CA 91203-4008
(818) 637-2673
(818) 484-2074
Mailing address
421 ARDEN AVE, SUITE B, GLENDALE, CA 91203-4008
(818) 637-2673
(818) 484-2074
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059443
MEDICARE PROVIDER NUMBER
—
Enumeration date
03/03/2010
Last updated
06/23/2020
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