Organization
GREEN WAY HOSPICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUSINE REVAZYAN (CEO/OWNER)
(818) 660-9109
Entity
Organization
Contact information
Practice address
7630 VINELAND AVE STE 210A, SUN VALLEY, CA 91352-4535
(818) 660-9109
(714) 495-4082
Mailing address
7630 VINELAND AVE STE 210A, SUN VALLEY, CA 91352-4535
(818) 660-9109
(714) 495-4082
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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