Organization
HEAVEN HOSPICE, INC.
Active
Organization
HEAVEN HOSPICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROY RUBANENKO (CEO)
(818) 508-4210
Entity
Organization
Contact information
Practice address
14557 FRIAR ST STE B1, VAN NUYS, CA 91411-2312
(818) 508-4210
(818) 508-4652
Mailing address
14557 FRIAR ST STE B1, VAN NUYS, CA 91411-2312
(818) 508-4210
(818) 508-4652
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
CA
Other
Enumeration date
02/11/2010
Last updated
07/21/2022
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