Organization
LIGHTHOUSE HOSPICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODOLFO HERNANDEZ (CEO)
(818) 616-9246
Entity
Organization
Contact information
Practice address
16430 VENTURA BLVD STE 203, ENCINO, CA 91436-2125
(818) 616-9246
Mailing address
16430 VENTURA BLVD STE 203, ENCINO, CA 91436-2125
(818) 616-9246
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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