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NPI Code Detail

MEDICARE: ETERNAL HOPE HOSPICE INC

MEDICARE: ETERNAL HOPE HOSPICE 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
1251G00000XCommunity Based Hospice Care Agency

General Provider Information

NPI Number : 1154980506
Entity Type Code : Organization
Provider Name (Legal Business Name) : ETERNAL HOPE HOSPICE INC
Provider Business Mailing Address
First Line : 7416 FOOTHILL BLVD
Second Line :
City : TUJUNGA
State : CA
Zip : 91042-2722
Country : US
Telephone Number : 818-826-1726
Fax Number : 818-688-0752
Provider Business Practice Location Address
First Line : 7416 FOOTHILL BLVD
Second Line :
City : TUJUNGA
State : CA
Zip : 91042-2722
Country : US
Telephone Number : 818-826-1726
Fax Number : 818-688-0752
Authorized Official
Title or Position : CEO
Name : MR. EDGAR ADZHEMYAN
Credential :
Telephone Number : 818-826-1726
Provider Enumeration Date : 06/10/2019
Last Update Date : 06/10/2019

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Directions to “ETERNAL HOPE HOSPICE INC ” Practice Location

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