Organization
GREAT LIFE HOSPICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
APOLLO JOLO ROBLES JR. (CEO)
(818) 779-1010
Entity
Organization
Contact information
Practice address
14640 VICTORY BLVD STE 213, VAN NUYS, CA 91411-4197
(818) 779-1010
Mailing address
13709 BURBANK BLVD, SHERMAN OAKS, CA 91401-5040
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
08/12/2014
Last updated
01/31/2020
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