Organization
DEVINA HOSPICE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GHAUSSEM NASROLLAHY RN (PRESIDENT/ADMINISTRATOR/DON)
(714) 642-9562
Entity
Organization
Contact information
Practice address
24404 SOUTH VERMONT AVE, SUITE 307G, HARBOR CITY, CA 90710-2305
(714) 642-9562
(424) 263-4832
Mailing address
24404 VERMONT AVE, SUITE 307G, HARBOR CITY, CA 90710-2313
(714) 642-9562
(888) 814-8165
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
12/05/2013
Last updated
07/29/2015
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