Organization
ST LUKES HOSPICE AND PALLIATIVE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANA SAN AGUSTIN RN (CEO)
(818) 285-8168
Entity
Organization
Contact information
Practice address
14852 VENTURA BLVD STE 210B, SHERMAN OAKS, CA 91403-3483
(818) 805-4316
Mailing address
14852 VENTURA BLVD STE 210B, SHERMAN OAKS, CA 91403-3483
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
05/01/2020
Last updated
01/31/2024
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