Organization
ANTELOPE VALLEY SUPPORTIVE CARE & HOSP
Active
Other names
Antelope Valley Supportive Care and Hospice Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL KHODABAKHSH MD (MEDICAL DIRECTOR)
(661) 247-8345
Entity
Organization
Contact information
Practice address
1505 W AVENUE J STE 303, LANCASTER, CA 93534-2845
(661) 247-8345
(661) 247-8346
Mailing address
1505 W AVENUE J STE 303, LANCASTER, CA 93534-2845
(661) 247-8345
(661) 247-8346
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
12/11/2014
Last updated
10/24/2023
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