Organization
GLEN-IVY HOSPICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENCYLITO LAVAREZ ALIVIA RN (PRESIDENT / CEO)
(626) 936-7650
Entity
Organization
Contact information
Practice address
12440 FIRESTONE BLVD STE 3025-K, NORWALK, CA 90650-4328
(213) 263-9399
(323) 287-0040
Mailing address
12440 FIRESTONE BLVD STE 3025-K, NORWALK, CA 90650-4328
(213) 263-9736
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
04/03/2020
Last updated
03/05/2024
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