Healthcare Provider Details

I. General information

NPI: 1619627866
Provider Name (Legal Business Name): GRM HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2022
Last Update Date: 05/25/2022
Certification Date: 05/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4711 OAKWOOD AVE STE 209
LOS ANGELES CA
90004-2491
US

IV. Provider business mailing address

4711 OAKWOOD AVE STE 209
LOS ANGELES CA
90004-2491
US

V. Phone/Fax

Practice location:
  • Phone: 301-800-0088
  • Fax:
Mailing address:
  • Phone: 301-800-0088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ROMAN MURADYAN
Title or Position: CEO
Credential:
Phone: 301-800-0088