Organization
GOOD LIFE PALLIATIVE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HOLLIS FREDERICK (CEO/ADMINISTRATOR)
(310) 877-8067
Entity
Organization
Contact information
Practice address
20953 DEVONSHIRE ST STE 8A, CHATSWORTH, CA 91311-2371
(310) 877-8067
Mailing address
20953 DEVONSHIRE ST STE 8A, CHATSWORTH, CA 91311-2371
(310) 877-8067
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
05/13/2019
Last updated
01/02/2020
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