Organization
LIRA HOSPICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WITTENBERG (ADMINISTRATOR)
(323) 965-2263
Entity
Organization
Contact information
Practice address
6222 WILSHIRE BLVD STE 230, LOS ANGELES, CA 90048-5130
(323) 965-2263
(323) 655-8502
Mailing address
6222 WILSHIRE BLVD STE 230, LOS ANGELES, CA 90048-5130
(323) 965-2263
(323) 965-2267
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659669562
—
CA
Enumeration date
07/12/2011
Last updated
12/16/2021
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