Organization
FERNANDO HOSPICE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELIX KOTOVETS (CEO)
(310) 926-7974
Entity
Organization
Contact information
Practice address
14545 VICTORY BLVD STE 610, VAN NUYS, CA 91411-1620
(818) 902-0008
(818) 902-0009
Mailing address
14545 VICTORY BLVD STE 610, VAN NUYS, CA 91411-1620
(818) 902-0008
(818) 902-0009
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
02/22/2012
Last updated
11/02/2020
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