Organization Name: | GL HOSPICE CARE, INCORPORATION |
NPI Number: | 1093080921 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANNA GEVORKIAN (CEO/PRESIDENT) |
Mailing Address: | 6931 Van Nuys Blvd #323 Van Nuys |
State: | CA US |
Postal Code: | 914053937 |
Phone Number: | 8187426490 |
Fax Number: | 8187426491 |
NPI Enumeration Date: | 03/10/2012 |
NPI Last Update Date: | 11/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |