Organization
HEAVENLY HOSPICE AND PALLIATIVE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHACHATUR DERDZAKYAN (CEO)
(747) 281-2004
Entity
Organization
Contact information
Practice address
1522 W GLENOAKS BLVD UNIT B, GLENDALE, CA 91201-1913
(747) 281-2004
(747) 281-2005
Mailing address
1522 W GLENOAKS BLVD UNIT B, GLENDALE, CA 91201-1913
(747) 281-2004
(747) 281-2005
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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