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Organization

ST. LUKE'S HOSPICE AGENCY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ARLENE V. ROQUE LVN (CEO/CFO/SEC/OWNER)
(818) 426-7730
Entity
Organization

Contact information

Practice address
14545 FRIAR ST STE 322-1, VAN NUYS, CA 91411-2397
(818) 426-7730
(747) 264-1436
Mailing address
14545 FRIAR ST STE 322-1, VAN NUYS, CA 91411-2397
(818) 426-7730
(747) 264-1436

Taxonomy

Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary

Other

Enumeration date
11/12/2021
Last updated
11/12/2021
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