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NPI Code Detail

MEDICARE: MRR HOME HEALTH CARE, INC.

MEDICARE: MRR HOME HEALTH CARE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1619579125
Entity Type Code : Organization
Provider Name (Legal Business Name) : MRR HOME HEALTH CARE, INC.
Provider Business Mailing Address
First Line : 3959 FOOTHILL BLVD STE 210
Second Line :
City : LA CRESCENTA
State : CA
Zip : 91214-1663
Country : US
Telephone Number : 818-310-3664
Fax Number :
Provider Business Practice Location Address
First Line : 3959 FOOTHILL BLVD STE 210
Second Line :
City : LA CRESCENTA
State : CA
Zip : 91214-1663
Country : US
Telephone Number : 818-310-3664
Fax Number :
Authorized Official
Title or Position : CEO
Name : ROBERT MIKAYELIAN
Credential :
Telephone Number : 818-310-3664
Provider Enumeration Date : 11/10/2020
Last Update Date : 11/10/2020

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Directions to “MRR HOME HEALTH CARE, INC. ” Practice Location

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