Organization
PROSPECT HOSPICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
METAKSYA SHAHVERDYAN (CEO)
(818) 602-6293
Entity
Organization
Contact information
Practice address
14416 VICTORY BLVD STE 220, VAN NUYS, CA 91401-6260
(800) 568-2919
Mailing address
14416 VICTORY BLVD STE 220, VAN NUYS, CA 91401-6260
(800) 568-2919
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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