MEDICARE: BRIGHT LIFE 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	:	1891372173
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHT LIFE HOSPICE INC

Provider Business Mailing Address
First Line	:	121 W LEXINGTON DR STE 626
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91203-2203
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	401 N BRAND BLVD STE 626
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91203-4447
Country	:	US
Telephone Number	:	818-480-4814
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ARMAN ISKANDARYAN
Credential	:
Telephone Number	:	818-480-4814

Provider Enumeration Date	:	03/24/2021
Last Update Date	:	03/24/2021

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Directions to “BRIGHT LIFE HOSPICE INC ” Practice Location

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