Organization
COUNTRY CLUB HOSPICE, INC.
Active
Organization
COUNTRY CLUB HOSPICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID GABRIELYAN (CEO)
(747) 200-4175
Entity
Organization
Contact information
Practice address
3089 N LIMA ST STE D, BURBANK, CA 91504-2013
(747) 200-4175
(747) 273-0558
Mailing address
3089 N LIMA ST STE D, BURBANK, CA 91504-2013
(747) 200-4175
(747) 273-0558
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
02/04/2021
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