Organization
HOSPICE NUMBER 12 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA GEVORGYAN (CEO)
(669) 300-0003
Entity
Organization
Contact information
Practice address
260 S GLENDORA AVE STE 208, WEST COVINA, CA 91790-3041
(669) 300-0003
Mailing address
260 S GLENDORA AVE STE 208, WEST COVINA, CA 91790-3041
(669) 300-0003
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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