MEDICARE: QUALITY LIFE PALLIATIVE AND HOSPICE CARE, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1982288551
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY LIFE PALLIATIVE AND HOSPICE CARE, INC

Provider Business Mailing Address
First Line	:	805 E WILSON AVE STE 4
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91206-4457
Country	:	US
Telephone Number	:	747-232-1245
Fax Number	:

Provider Business Practice Location Address
First Line	:	1042 WESTERN AVE STE 1
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91201-1713
Country	:	US
Telephone Number	:	747-222-1111
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ASASAD KARAPETYAN
Credential	:
Telephone Number	:	747-222-1111

Provider Enumeration Date	:	05/10/2021
Last Update Date	:	02/10/2022

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