Organization
GREEN ROAD HOSPICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVA BANDIKIAN (CEO)
(747) 262-7255
Entity
Organization
Contact information
Practice address
6257 VAN NUYS BLVD STE E, VAN NUYS, CA 91401-2733
(747) 262-7255
Mailing address
6257 VAN NUYS BLVD STE E, VAN NUYS, CA 91401-2733
(747) 262-7255
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
07/26/2020
Last updated
08/11/2022
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