Healthcare Provider Details

I. General information

NPI: 1902486582
Provider Name (Legal Business Name): 911 FRIENDLY HOSPICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2021
Last Update Date: 04/08/2021
Certification Date: 04/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

348 E OLIVE AVE STE D
BURBANK CA
91502-1250
US

IV. Provider business mailing address

348 E OLIVE AVE STE D
BURBANK CA
91502-1250
US

V. Phone/Fax

Practice location:
  • Phone: 747-281-2010
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: KARO MALAKHYAN
Title or Position: CEO
Credential:
Phone: 747-281-2010