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NPI Code Detail

MEDICARE: ETS HOSPICE CARE, INC.

MEDICARE: ETS 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
1251G00000XCommunity Based Hospice Care Agency

General Provider Information

NPI Number : 1316540917
Entity Type Code : Organization
Provider Name (Legal Business Name) : ETS HOSPICE CARE, INC.
Provider Business Mailing Address
First Line : 6410 VAN NUYS BLVD STE F202
Second Line :
City : VAN NUYS
State : CA
Zip : 91401-6263
Country : US
Telephone Number : 747-282-0407
Fax Number :
Provider Business Practice Location Address
First Line : 6410 VAN NUYS BLVD STE F202
Second Line :
City : VAN NUYS
State : CA
Zip : 91401-6263
Country : US
Telephone Number : 747-282-0407
Fax Number :
Authorized Official
Title or Position : CEO
Name : VAGHARSHAK GRIGORYAN
Credential :
Telephone Number : 747-282-0407
Provider Enumeration Date : 11/17/2020
Last Update Date : 11/17/2020

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Directions to “ETS HOSPICE CARE, INC. ” Practice Location

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