Organization
ST. NICOLAS HOSPICE CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NARINE AVAGYAN (CEO/PRESIDENT)
(818) 666-9344
Entity
Organization
Contact information
Practice address
2529 FOOTHILL BLVD, SUITE 1, LA CRESCENTA, CA 91214-3521
(818) 666-9344
(800) 250-9813
Mailing address
2529 FOOTHILL BLVD, SUITE 1, LA CRESCENTA, CA 91214-3521
(818) 666-9344
(800) 250-9813
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
550002291
CA
251G00000X
Community Based Hospice Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
550002291
—
CA
Enumeration date
03/14/2012
Last updated
10/28/2015
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