Organization
LIFE SOURCE HOSPICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YERVAN MNATSAKANYAN (CEO)
(626) 263-2323
Entity
Organization
Contact information
Practice address
232 N LAKE AVE STE 216, PASADENA, CA 91101-1862
(626) 263-2323
Mailing address
232 N LAKE AVE STE 216, PASADENA, CA 91101-1862
(626) 263-2323
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
01/31/2020
Last updated
04/22/2020
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