Organization
BLUE HEAVEN HOSPICE & PALLIATIVE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD JOUHARYAN I (ADMINISTRATOR)
(626) 628-2826
Entity
Organization
Contact information
Practice address
2117 LAKE AVE, 102, ALTADENA, CA 91001-2462
(626) 628-0826
(626) 628-0827
Mailing address
2117 LAKE AVE, 102, ALTADENA, CA 91001-2462
(626) 628-0826
(626) 628-0827
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Enumeration date
03/16/2009
Last updated
04/11/2012
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