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Organization

LIGHTHOUSE HOME HEALTHCARE AGENCY, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AGASI DUNYAMALYAN (CEO)
(747) 307-3336
Entity
Organization

Contact information

Practice address
12444 VICTORY BLVD STE 214C, NORTH HOLLYWOOD, CA 91606-3199
(747) 307-3336
(747) 307-3336
Mailing address
12444 VICTORY BLVD STE 214C, NORTH HOLLYWOOD, CA 91606-3199
(747) 307-3336
(747) 307-3336

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
05/08/2023
Last updated
05/08/2023
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