Organization
HOSPICE OF PRIME SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERGEY GHEVONDYAN (CEO)
(747) 282-0470
Entity
Organization
Contact information
Practice address
7311 VAN NUYS BLVD UNIT 19, VAN NUYS, CA 91405-1999
(747) 282-0470
Mailing address
7311 VAN NUYS BLVD UNIT 19, VAN NUYS, CA 91405-1999
(747) 282-0470
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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