| Organization Name: | OLIVE DYNASTY HOSPICE CARE, INC. |
| NPI Number: | 1558579326 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARILOU LUGTU (PRESIDENT) |
| Mailing Address: | 8929 S Sepulveda Blvd Suite 210 Los Angeles |
| State: | CA US |
| Postal Code: | 900453616 |
| Phone Number: | 3104108833 |
| Fax Number: | 3104108844 |
| NPI Enumeration Date: | 05/17/2007 |
| 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: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |