Organization Name: | MGA HOME CARE SERVICES INCORPORATION |
NPI Number: | 1508153503 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AKOP BAZINYAN (PRESIDENT/CEO/CFO) |
Mailing Address: | 2112 W Whittier Blvd Suite 104 A Montebello |
State: | CA US |
Postal Code: | 906404056 |
Phone Number: | 3237213132 |
Fax Number: | 3237213144 |
NPI Enumeration Date: | 06/29/2011 |
NPI Last Update Date: | 06/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |