A Miracle Hospice INC
Hospice Care, Community Based in Van Nuys, CA. Organization (NPI-2).
NPI number1720367378
StatusActive
Last updated in NPPESFeb 25, 2015
Details
- NPI
- 1720367378
- Entity type
- Organization (NPI-2)
- Legal business name
- A Miracle Hospice INC
- Organization subpart
- No
- Enumeration date
- Aug 15, 2011
- Last updated
- Feb 25, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251G00000X | Hospice Care, Community Based | – | – | Yes |
Practice location
14402 Haynes StSte 205
Van Nuys, CA 91401-1474
Phone 818-786-9333
Mailing address
14402 Haynes St.#205
Van Nuys, CA 91401
Phone 818-786-9333 · Fax 818-786-9334
Authorized official
Alexander Golst
Ceo
8187869333
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