Organization
BONA VITA HOSPICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRIGOR HARUTYUNYAN (CEO)
(747) 205-0456
Entity
Organization
Contact information
Practice address
14126 SHERMAN WAY STE 205, VAN NUYS, CA 91405-5631
(747) 205-0456
Mailing address
14126 SHERMAN WAY STE 205, VAN NUYS, CA 91405-5631
(747) 205-0456
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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