Organization
FOURTH DOC HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUSINE NERSISYAN (CEO)
(205) 282-9136
Entity
Organization
Contact information
Practice address
1314 W GLENOAKS BLVD STE 101C, GLENDALE, CA 91201-1978
(205) 282-9136
(205) 974-3248
Mailing address
1314 W GLENOAKS BLVD STE 101C, GLENDALE, CA 91201-1978
(205) 282-9136
(205) 974-3248
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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