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Organization
VIRIDIAN HEALTHCARE LLC
Active
Organization
VIRIDIAN HEALTHCARE LLC
Active
Other names
Viridian Hospice Agency
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY PEKUN (PRESIDENT)
(310) 877-5368
Entity
Organization
Contact information
Practice address
13658 HAWTHORNE BLVD STE 201, HAWTHORNE, CA 90250
(310) 877-5368
Mailing address
13658 HAWTHORNE BLVD STE 201, HAWTHORNE, CA 90250-5822
(310) 877-5368
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
07/09/2018
Last updated
08/17/2018
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