Organization
FOREVER HEAVENLY HOSPICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSHANAK KHADEM (CEO)
(818) 402-2500
Entity
Organization
Contact information
Practice address
10523 BURBANK BLVD, STE 203, NORTH HOLLYWOOD, CA 91601-2233
(818) 402-2500
Mailing address
10523 BURBANK BLVD, STE 203, NORTH HOLLYWOOD, CA 91601-2233
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
08/24/2010
Last updated
08/24/2010
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