Organization
ST MIMA HOSPICE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAMARA SAKHIASHVILI (OWNER)
(818) 453-8897
Entity
Organization
Contact information
Practice address
14545 FRIAR ST STE 276-A, VAN NUYS, CA 91411-2397
(818) 453-8897
Mailing address
14545 FRIAR ST STE 276-A, VAN NUYS, CA 91411-2397
(818) 453-8897
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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