Organization
HEAVENLY HEALTHCARE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL KESABLYAN (CEO)
(818) 671-1757
Entity
Organization
Contact information
Practice address
6470 VAN NUYS BLVD STE E, VAN NUYS, CA 91401-1499
(818) 671-1757
(818) 671-1405
Mailing address
6470 VAN NUYS BLVD STE E, VAN NUYS, CA 91401-1499
(818) 671-1757
(818) 671-1405
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/10/2021
Last updated
02/08/2023
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