Organization
MAJESTY HOME HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AURELIA BANEZ AZANA REGISTERED NURSE (PRESIDENT)
(818) 775-9447
Entity
Organization
Contact information
Practice address
18527 ROSCOE BLVD, NORTHRIDGE, CA 91324-4632
(818) 775-9447
Mailing address
18527 ROSCOE BLVD, NORTHRIDGE, CA 91324-4632
(818) 775-9447
(818) 774-9448
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
980001388
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962462077
NPPES
CA
05
—
HHA08283F
—
CA
Enumeration date
03/23/2006
Last updated
07/12/2012
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