Provider Demographics
NPI:1720542236
Name:WOODLYN HOME HEALTH, INC.
Entity Type:Organization
Organization Name:WOODLYN HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BAGDASAR
Authorized Official - Middle Name:
Authorized Official - Last Name:GALADJIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-230-4525
Mailing Address - Street 1:728 S HILL ST STE 605B
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90014-2768
Mailing Address - Country:US
Mailing Address - Phone:323-230-4525
Mailing Address - Fax:323-230-4515
Practice Address - Street 1:728 S HILL ST STE 605B
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90014-2768
Practice Address - Country:US
Practice Address - Phone:323-230-4525
Practice Address - Fax:323-230-4515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-29
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based