Organization
FULL SERVICE HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KNARIK VARDANYAN (CEO)
(818) 619-7238
Entity
Organization
Contact information
Practice address
502 W ROUTE 66 STE 23, GLENDORA, CA 91740-4378
(818) 624-6360
Mailing address
502 W ROUTE 66 STE 23, GLENDORA, CA 91740-4378
(818) 624-6360
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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