Organization
LAGLEN HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHALIL K MANSOUR (CEO)
(747) 333-3012
Entity
Organization
Contact information
Practice address
353 E ANGELENO AVE STE M, BURBANK, CA 91502-1310
(747) 333-3012
(747) 777-5570
Mailing address
353 E ANGELENO AVE STE M, BURBANK, CA 91502-1310
(747) 333-3012
(747) 777-5570
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/06/2021
Last updated
05/01/2026
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