Organization
LIGHT HOSPICE INC.
Active
Organization
LIGHT HOSPICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMALYA GRIGORYAN (CEO)
(818) 538-5538
Entity
Organization
Contact information
Practice address
13615 VICTORY BLVD STE 112, VAN NUYS, CA 91401-1771
(818) 538-5538
(818) 942-3364
Mailing address
13615 VICTORY BLVD STE 112, VAN NUYS, CA 91401-1771
(818) 538-5538
(818) 942-3364
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
01/03/2020
Last updated
01/03/2020
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