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Active
Organization subpart
No

Provider details

NPI number
Authorized official
KISTINA KORSHIYA (CEO)
(818) 643-5330
Entity
Organization

Contact information

Practice address
14429 VENTURA BLVD STE 118, SHERMAN OAKS, CA 91423-2672
(818) 643-5330
Mailing address
14429 VENTURA BLVD STE 11814429, SHERMAN OAKS, CA 91423-2646
(818) 643-5330

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary

Other

Enumeration date
02/28/2020
Last updated
02/28/2020
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