Organization Name: | VITAL HOSPICE CARE INC |
NPI Number: | 1720466204 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARIANA MARTIROSYAN (CEO) |
Mailing Address: | 12521 Oxnard St Ste A North Hollywood |
State: | CA US |
Postal Code: | 916064416 |
Phone Number: | 8184232232 |
Fax Number: | 8188243053 |
NPI Enumeration Date: | 05/15/2015 |
NPI Last Update Date: | 05/15/2015 |
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: |