# HEAVENS LIGHTHOUSE HOSPICE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174197941
- **Authorized official:** ANAISE AQUINO (CEO)
- **Authorized official phone:** (818) 275-8399

## Contact information

- **Practice address:** 13609 VICTORY BLVD STE 235, VAN NUYS, CA 91401-6437
- **Practice address phone:** (818) 275-8399
- **Mailing address:** 13609 VICTORY BLVD STE 235, VAN NUYS, CA 91401-6437
- **Mailing address phone:** (818) 275-8399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/17/2021
- **Last updated:** 05/17/2021