MEDICARE: EUROSE CORPORATION

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
1	251E00000X	Home Health Agency	250000792	CA

General Provider Information

NPI Number	:	1689601650
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EUROSE CORPORATION

Provider Business Mailing Address
First Line	:	415 E HARVARD ST
Second Line	:	SUITE 111
City	:	GLENDALE
State	:	CA
Zip	:	91205-1057
Country	:	US
Telephone Number	:	818-552-2602
Fax Number	:	818-552-2604

Provider Business Practice Location Address
First Line	:	415 E HARVARD ST
Second Line	:	SUITE 111
City	:	GLENDALE
State	:	CA
Zip	:	91205-1057
Country	:	US
Telephone Number	:	818-552-2602
Fax Number	:	818-552-2604

Authorized Official
Title or Position	:	CFO
Name	:	ANGELA KHANJYAN
Credential	:
Telephone Number	:	818-552-2602

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	03/09/2011

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Directions to “EUROSE CORPORATION ” Practice Location

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