Organization Name: | ST VINCENT HOSPICE SERVICES, INC |
NPI Number: | 1447666995 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VADIM DANIELIAN (CEO) |
Mailing Address: | 420 S Rosemead Blvd Suite D-e Pasadena |
State: | CA US |
Postal Code: | 911074980 |
Phone Number: | 6267961922 |
Fax Number: | |
NPI Enumeration Date: | 07/05/2014 |
NPI Last Update Date: | 07/05/2014 |
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: |