Organization
EAGLE HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIANA GRIGORYAN (CEO)
(818) 927-4039
Entity
Organization
Contact information
Practice address
6005 VINELAND AVE STE 204, NORTH HOLLYWOOD, CA 91606-4984
(747) 244-7340
Mailing address
6005 VINELAND AVE STE 204, NORTH HOLLYWOOD, CA 91606-4984
(818) 927-4039
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1
—
CA
Enumeration date
11/20/2017
Last updated
03/31/2021
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