Organization
HOSPICE OF PROVIDENCE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGINE GYULAKUBYAN (CEO)
(818) 855-1411
Entity
Organization
Contact information
Practice address
4533 VAN NUYS BLVD STE 301B, SHERMAN OAKS, CA 91403-2950
(818) 855-1411
Mailing address
4533 VAN NUYS BLVD STE 301B, SHERMAN OAKS, CA 91403-2950
(818) 855-1411
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
05/16/2020
Last updated
05/16/2020
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