Provital Care, Inc.
NPI #1346874062 in Chatsworth, California
Provider Information
- NPI Number
- 1346874062
- Entity Type
- Organization
- Organization Name
- Provital Care, Inc.
- Primary Specialty
- Home Health
- Enumeration Date
- Mar 3, 2020
- Last Updated
- Mar 3, 2020
Practice Location
- Address
- 20953 DEVONSHIRE ST STE 6
- City
- Chatsworth
- State
- California
- ZIP Code
- 91311-2371
- Phone
- (747) 282-1555
Authorized Official
- Name
- IRINA GRIGORYAN
- Title
- CEO
- Phone
- (747) 282-1555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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