Organization
HOSPICE OF ST JOHN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANEESH A. BANSAL (PRESIDENT/CEO)
(562) 924-9618
Entity
Organization
Contact information
Practice address
530 S GLENOAKS BLVD, SUITE 206, BURBANK, CA 91502-2753
(818) 843-9990
(818) 843-9991
Mailing address
530 S GLENOAKS BLVD STE 206, BURBANK, CA 91502-2753
(818) 843-9990
(818) 843-9991
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
04/01/2011
Last updated
04/10/2018
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