| NPI | 1548393978 |
|---|---|
| Former Legal Business Name | PROVIDENCE HOME HEALTH CARE, INC |
| Entity Type | Organization |
| Authorized Contact | MANOUSHAK AKHOYAN CEO 626-792-0911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: CA 980001498) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-07-01 |