Organization
LIVING WATER HOME HEALTH CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AZIZA GEORGIAN (CEO/CFO/SECRETARY)
(626) 354-0916
Entity
Organization
Contact information
Practice address
14545 FRIAR ST STE 188, VAN NUYS, CA 91411-2397
(626) 354-0916
Mailing address
221 E WALNUT ST STE 255B, PASADENA, CA 91101-1585
(626) 354-0916
(626) 900-1114
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/04/2022
Last updated
01/03/2024
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