Organization
A MIRACLE HOSPICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER GOLST (CEO)
(818) 786-9333
Entity
Organization
Contact information
Practice address
14402 HAYNES ST, STE 205, VAN NUYS, CA 91401-1474
(818) 786-9333
Mailing address
14402 HAYNES ST., #205, VAN NUYS, CA 91401
(818) 786-9333
(818) 786-9334
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
08/15/2011
Last updated
02/25/2015
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