Organization
HEAVENLY HOSPICE CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKOLAY HALLABYAN (CEO)
(818) 495-4744
Entity
Organization
Contact information
Practice address
6308 WOODMAN AVE STE 218, VAN NUYS, CA 91401-2347
(818) 495-4744
Mailing address
6308 WOODMAN AVE STE 218, VAN NUYS, CA 91401-2347
(818) 495-4744
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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