MEDICARE: MELROSE HEALTHCARE GROUP

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	:	1912495631
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MELROSE HEALTHCARE GROUP

Provider Business Mailing Address
First Line	:	7730 FOOTHILL BLVD
Second Line	:
City	:	TUJUNGA
State	:	CA
Zip	:	91042-2121
Country	:	US
Telephone Number	:	818-847-7002
Fax Number	:	818-847-7134

Provider Business Practice Location Address
First Line	:	7730 FOOTHILL BLVD
Second Line	:
City	:	TUJUNGA
State	:	CA
Zip	:	91042-2121
Country	:	US
Telephone Number	:	818-847-7002
Fax Number	:	818-847-7134

Authorized Official
Title or Position	:	CEO
Name	:	MR. ABRAHAM ABRAMIAN
Credential	:
Telephone Number	:	818-847-7002

Provider Enumeration Date	:	04/27/2018
Last Update Date	:	04/27/2018

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