=====================================================
General NPI Number Information
=====================================================
NPI Number | 1174148241
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALL FOR LIFE HOSPICE CARE,INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/14/2020
-----------------------------------------------------
Last Update Date | 06/14/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 221 W ALAMEDA AVE STE 201
-----------------------------------------------------
City | BURBANK
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91502-3032
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-743-2777
-----------------------------------------------------
Fax | 818-845-7779
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 221 W ALAMEDA AVE STE 201
-----------------------------------------------------
City | BURBANK
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91502-3032
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-743-2777
-----------------------------------------------------
Fax | 818-845-7779
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | GRIGOR MURADYAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 818-743-2777
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251G00000X
-----------------------------------------------------
Taxonomy Name | Community Based Hospice Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------