Organization Name: | ST. ANN HOSPICE, INC. |
NPI Number: | 1346225125 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMELOU GILL (ADMINISTRATOR) |
Mailing Address: | 1612 W Glenoaks Blvd Glendale |
State: | CA US |
Postal Code: | 912011814 |
Phone Number: | 8185514900 |
Fax Number: | 8185514907 |
NPI Enumeration Date: | 12/14/2005 |
NPI Last Update Date: | 01/31/2008 |
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: |