Organization
LEGACY HOME HEALTH SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAGRAT ALEKSANYAN (CEO)
(747) 900-9263
Entity
Organization
Contact information
Practice address
10201 RIVERSIDE DR STE 202, TOLUCA LAKE, CA 91602-2538
(747) 900-9263
Mailing address
10201 RIVERSIDE DR STE 202, TOLUCA LAKE, CA 91602-2538
(747) 900-9263
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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