Organization
FIFTH AVENUE HOME HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZARUI TER-POGOSYAN (CEO/CFO/SECRETARY)
(818) 281-5659
Entity
Organization
Contact information
Practice address
15826 VENTURA BLVD STE 222C, ENCINO, CA 91436-2919
(818) 281-5659
Mailing address
15826 VENTURA BLVD STE 222C, ENCINO, CA 91436-2919
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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