Organization
LONGEVITY HOSPICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHFOUZ MICHAEL MD (CEO)
(323) 999-8267
Entity
Organization
Contact information
Practice address
8781 VAN NUYS BLVD, PANORAMA CITY, CA 91402-2401
(818) 313-9011
(818) 313-9012
Mailing address
8781 VAN NUYS BLVD, PANORAMA CITY, CA 91402-2401
(818) 313-9011
(818) 313-9012
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
02/13/2012
Last updated
02/18/2022
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