Organization
MOUNTAINSIDE HOSPICE AND PALLIATIVE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD OTUZBIRYAN (CEO)
(818) 818-5009
Entity
Organization
Contact information
Practice address
8700 RESEDA BLVD STE 103, NORTHRIDGE, CA 91324-5384
(818) 818-5009
Mailing address
8700 RESEDA BLVD STE 103, NORTHRIDGE, CA 91324-5384
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
04/17/2020
Last updated
04/17/2020
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