Organization Name: | BROOKDALE HOSPICE, LLC |
NPI Number: | 1629466875 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JULIE A MCGLASSON (SR. DIRECTOR REGULATORY PRACTICES) |
Mailing Address: | 4201 Wilshire Blvd Ste 522 Los Angeles |
State: | CA US |
Postal Code: | 900103601 |
Phone Number: | 3239395684 |
Fax Number: | |
NPI Enumeration Date: | 12/22/2014 |
NPI Last Update Date: | 12/22/2014 |
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: |