Organization
TAG HOSPICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANI MKHITARYAN (CEO)
(747) 247-7234
Entity
Organization
Contact information
Practice address
6412 MATILIJA AVE STE 208, VAN NUYS, CA 91401-1576
(747) 247-7234
(747) 247-7235
Mailing address
6412 MATILIJA AVE STE 208, VAN NUYS, CA 91401-1576
(747) 247-7234
(747) 247-7235
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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