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Organization

HOLLY HOSPICE SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AYLENE GINES (CEO/CFO)
(562) 471-8415
Entity
Organization

Contact information

Practice address
21006 DEVONSHIRE ST, STE 207, 21006 DEVONSHIRE ST., STE 207, CHATSWORTH, CA 91311
(562) 471-8415
Mailing address
21006 DEVONSHIRE ST, STE 207, 21151 SOUTH WESTERN AVENUE STE 284, CHATSWORTH, CA 91311
(562) 471-8415

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary

Other

Enumeration date
10/05/2021
Last updated
10/05/2021
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