Organization
MEDLIFE HOSPICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIR KHAMATHKHANOV (MANAGER)
(818) 666-3194
Entity
Organization
Contact information
Practice address
7311 VAN NUYS BLVD, UNIT 9, VAN NUYS, CA 91405-1999
(818) 666-3194
(844) 593-1265
Mailing address
7311 VAN NUYS BLVD, UNIT 9, VAN NUYS, CA 91405-1999
(818) 666-3194
(844) 593-1265
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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