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NPI Code Detail

MEDICARE: GMD HOSPICE

MEDICARE: GMD HOSPICE
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 : 1508430604
Entity Type Code : Organization
Provider Name (Legal Business Name) : GMD HOSPICE
Provider Business Mailing Address
First Line : 201 N BRAND BLVD STE 200-254
Second Line :
City : GLENDALE
State : CA
Zip : 91203-3588
Country : US
Telephone Number : 818-653-8717
Fax Number :
Provider Business Practice Location Address
First Line : 201 N BRAND BLVD STE 200-254
Second Line :
City : GLENDALE
State : CA
Zip : 91203-3588
Country : US
Telephone Number : 818-653-8717
Fax Number :
Authorized Official
Title or Position : OWNER/CEO
Name : MARIA EDOUMIAN
Credential :
Telephone Number : 818-653-8717
Provider Enumeration Date : 05/14/2021
Last Update Date : 05/14/2021

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Directions to “GMD HOSPICE ” Practice Location

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