Organization
THE VILLAGE MANOR HOSPICE
Active
Other names
Village Ventures
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EVELYN ANN BOOKER LISW (ADMINISTRATOR)
(323) 299-9499
Entity
Organization
Contact information
Practice address
3860 CRENSHAW BLVD, STE 219A, LOS ANGELES, CA 90008-1816
(323) 299-9499
Mailing address
3860 CRENSHAW BLVD, STE 219A, LOS ANGELES, CA 90008-1816
(323) 299-9499
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HPC017047
—
CA
Enumeration date
12/21/2005
Last updated
08/22/2020
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