Organization
HEAVENS LIGHTHOUSE HOSPICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANAISE AQUINO (CEO)
(818) 275-8399
Entity
Organization
Contact information
Practice address
13609 VICTORY BLVD STE 235, VAN NUYS, CA 91401-6437
(818) 275-8399
Mailing address
13609 VICTORY BLVD STE 235, VAN NUYS, CA 91401-6437
(818) 275-8399
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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