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General NPI Number Information
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NPI Number | 1871173997
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Entity Type | Organization
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Legal Business Name | LUCID HOSPICE CARE, INC
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Dates
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Enumeration Date | 04/12/2021
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Last Update Date | 04/12/2021
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Provider Practice Location Address
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Address Line | 4100 W ALAMEDA AVE STE 385
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City | BURBANK
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State | CA
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Zip | 91505-4153
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Country | US
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Telephone | 818-860-4012
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Fax |
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Provider Business Mailing Address
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Address Line | 1516 N FAIRVIEW ST
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City | BURBANK
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State | CA
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Zip | 91505-1656
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Country | US
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Telephone | 818-406-9499
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ELENA BABAKHANYAN
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Credential |
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Telephone | 818-860-4012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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