Organization
MEDINA HOSPICE INC
Active
Organization
MEDINA HOSPICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANNA OVSEPYAN (ECO)
(818) 640-6752
Entity
Organization
Contact information
Practice address
6850 VAN NUYS BLVD STE 204, VAN NUYS, CA 91405-4629
(818) 640-6752
Mailing address
6850 VAN NUYS BLVD STE 204, VAN NUYS, CA 91405-4629
(818) 640-6752
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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