Organization
IMMACULATE HOSPICE CARE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANUSH MNATSAKANYA CEO/CFO/SEC/BM (CEO)
(747) 724-9909
Entity
Organization
Contact information
Practice address
350 ARDEN AVE STE 104, GLENDALE, CA 91203-1110
(747) 724-9909
(818) 475-1785
Mailing address
350 ARDEN AVE STE 104, GLENDALE, CA 91203-1110
(747) 724-9909
(818) 475-1785
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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