Organization
GRATEFUL HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN REYNOSO (CEO)
(818) 807-5024
Entity
Organization
Contact information
Practice address
6308 WOODMAN AVE STE 205, VAN NUYS, CA 91401-2387
(818) 807-5024
Mailing address
6308 WOODMAN AVE, VAN NUYS, CA 91401-2347
(818) 687-3793
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/08/2021
Last updated
07/21/2022
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