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NPI Code Detail

MEDICARE: MI HOSPICE AND PALLIATIVE CARE, INC.

MEDICARE: MI HOSPICE AND PALLIATIVE 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 : 1548550759
Entity Type Code : Organization
Provider Name (Legal Business Name) : MI HOSPICE AND PALLIATIVE CARE, INC.
Provider Business Mailing Address
First Line : 6513 HOLLYWOOD BLVD
Second Line : STE 213
City : LOS ANGELES
State : CA
Zip : 90028-6251
Country : US
Telephone Number : 323-466-4400
Fax Number : 323-786-8601
Provider Business Practice Location Address
First Line : 6513 HOLLYWOOD BLVD
Second Line : STE 213
City : LOS ANGELES
State : CA
Zip : 90028-6251
Country : US
Telephone Number : 323-466-4400
Fax Number : 323-786-8601
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MISS INGA GRIGORIAN
Credential :
Telephone Number : 323-466-4400
Provider Enumeration Date : 04/10/2011
Last Update Date : 04/10/2011

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Directions to “MI HOSPICE AND PALLIATIVE CARE, INC. ” Practice Location

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