Organization
FRONTIER LIFE HOSPICE CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUBEN AVETISYAN (CEO/AO)
(818) 903-5306
Entity
Organization
Contact information
Practice address
20944 SHERMAN WAY STE 110, CANOGA PARK, CA 91303-3627
(818) 517-8743
Mailing address
20944 SHERMAN WAY STE 115, CANOGA PARK, CA 91303-3632
(818) 517-8743
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
03/22/2021
Last updated
03/26/2021
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