Organization Name: | IMMEDIATE HOSPICE CARE |
NPI Number: | 1598004863 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | INGA ASLANIAN (ADMINISTRATOR) |
Mailing Address: | 14640 Victory Blvd Suite 224 Van Nuys |
State: | CA US |
Postal Code: | 914111623 |
Phone Number: | 8189977633 |
Fax Number: | 8186476400 |
NPI Enumeration Date: | 02/06/2013 |
NPI Last Update Date: | 02/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 810779 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |