Life Renewal Hospice Care INC.
Hospice Care, Community Based in Lake Balboa, CA. Organization (NPI-2).
NPI number1124638366
StatusActive
Last updated in NPPESMar 2, 2021
Details
- NPI
- 1124638366
- Entity type
- Organization (NPI-2)
- Legal business name
- Life Renewal Hospice Care INC.
- Organization subpart
- No
- Enumeration date
- Aug 3, 2020
- Certification date
- Mar 2, 2021
- Last updated
- Mar 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251G00000X | Hospice Care, Community Based | – | – | Yes |
Practice location
16442 Vanowen St Ste CLake Balboa, CA 91406-4729
Phone 323-909-5655
Mailing address
16442 Vanowen St Ste CLake Balboa, CA 91406-4729
Phone 323-909-5655
Authorized official
Maria Sahakyan
Ceo
3239095655
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