Organization
LEGACY HOSPICE INC.
Active
Organization
LEGACY HOSPICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY AVANESOV (CEO)
(818) 666-3353
Entity
Organization
Contact information
Practice address
7311 VAN NUYS BLVD UNIT 11, VAN NUYS, CA 91405-1958
(818) 666-3353
(818) 431-4345
Mailing address
7311 VAN NUYS BLVD UNIT 11, VAN NUYS, CA 91405-1958
(818) 666-3353
(818) 431-4345
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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