Organization Name: | VILLA BLANCA HOSPICE, INC. |
NPI Number: | 1891159729 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID GABRIELYAN (CEO) |
Mailing Address: | 10523 Burbank Blvd Ste 104 North Hollywood |
State: | CA US |
Postal Code: | 916012235 |
Phone Number: | 8186002499 |
Fax Number: | 8186002588 |
NPI Enumeration Date: | 04/06/2016 |
NPI Last Update Date: | 04/06/2016 |
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: |