Organization Name: | GLENDALE HEALTH SERVICES, INC |
NPI Number: | 1386965382 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MAKRUHI KHANJYAN (CEO) |
Mailing Address: | 126 S Jackson St Suite 304 Glendale |
State: | CA US |
Postal Code: | 912054922 |
Phone Number: | 8182417700 |
Fax Number: | 8182417900 |
NPI Enumeration Date: | 06/14/2010 |
NPI Last Update Date: | 10/28/2013 |
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: | |
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