Organization
PRO HOSPICE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIPSIME DANIELYAN (OWNER)
(559) 435-9991
Entity
Organization
Contact information
Practice address
5707 N 1ST ST, FRESNO, CA 93710-6203
(559) 435-9991
(559) 435-9990
Mailing address
5707 N 1ST ST, FRESNO, CA 93710-6203
Taxonomy
Speciality
Code
Description
License number
State
315D00000X
Inpatient Hospice
Primary
550001890
CA
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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