Organization
REVIVE HOSPICE CARE GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALIS PENESYAN (CEO)
(818) 909-3444
Entity
Organization
Contact information
Practice address
3430 OCEAN VIEW BLVD STE F, GLENDALE, CA 91208-1566
(818) 909-3444
(818) 909-2322
Mailing address
3430 OCEAN VIEW BLVD STE F, GLENDALE, CA 91208-1566
(818) 909-3444
(818) 909-2322
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
11/14/2013
Last updated
02/23/2023
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