Provider Demographics
NPI:1013113620
Name:GALAXY HOME HEALTH, INC.
Entity Type:Organization
Organization Name:GALAXY HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JULITA
Authorized Official - Middle Name:P
Authorized Official - Last Name:FRALEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-901-9171
Mailing Address - Street 1:14553 DELANO ST STE 318
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91411-2858
Mailing Address - Country:US
Mailing Address - Phone:818-901-9171
Mailing Address - Fax:818-901-9185
Practice Address - Street 1:14553 DELANO ST STE 318
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91411-2858
Practice Address - Country:US
Practice Address - Phone:818-901-9171
Practice Address - Fax:818-901-9185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-21
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550000934251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health