MEDICARE: MD PREFERRED 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
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1841695830
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MD PREFERRED HOSPICE INC

Provider Business Mailing Address
First Line	:	6047 TAMPA AVE
Second Line	:	SUITE 205
City	:	TARZANA
State	:	CA
Zip	:	91356-1158
Country	:	US
Telephone Number	:	888-670-0838
Fax Number	:	818-301-0292

Provider Business Practice Location Address
First Line	:	6047 TAMPA AVE
Second Line	:	SUITE 205
City	:	TARZANA
State	:	CA
Zip	:	91356-1158
Country	:	US
Telephone Number	:	888-670-0838
Fax Number	:	818-301-0292

Authorized Official
Title or Position	:	CEO
Name	:	MISS LILIA AVAGYAN
Credential	:
Telephone Number	:	888-670-0838

Provider Enumeration Date	:	11/03/2014
Last Update Date	:	11/03/2014

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Directions to “MD PREFERRED HOSPICE INC ” Practice Location

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