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Organization

JHA GERIATRIC SERVICES, INC

Active
Other names
Skirball Hospice
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARY M FORREST (CHIEF EXECUTIVE OFFICER)
(818) 774-3208
Entity
Organization

Contact information

Practice address
6345 BALBOA BLVD STE 315, ENCINO, CA 91316-1500
(818) 774-3040
Mailing address
7150 TAMPA AVE, RESEDA, CA 91335-3700
(818) 757-4447
(818) 757-4401

Taxonomy

Speciality
Code
Description
License number
State
315D00000X
Inpatient Hospice
Primary
980001583
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
HPC01778F
CA
Enumeration date
05/27/2005
Last updated
05/23/2019
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