Organization Name: | MAJESTY HOSPICE, INC. |
NPI Number: | 1093792996 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY ALYN ABAD DOMONDON (PRES / CEO) |
Mailing Address: | 4221 Wilshire Blvd Ste 480 Los Angeles |
State: | CA US |
Postal Code: | 900103512 |
Phone Number: | 3236349907 |
Fax Number: | 3236349906 |
NPI Enumeration Date: | 12/30/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |