ST JACOB HOSPICE INC NPI 1699815530

NPI Information

ST JACOB HOSPICE INC is a hospice care community based in Northridge, CA. ST JACOB HOSPICE INC NPI is 1699815530. The provider is registered as an organization entity type.

The provider's business location address is:

17042 DEVONSHIRE ST
SUITE 209
NORTHRIDGE, CA
ZIP 91325-674
Phone: (818) 368-9995

The provider's authorized official is Anahit Khrimian .
The authorized official title is Owner and has the following contact phone number (818) 368-9995.

The CLIA number assigned to this NPI record is 05D1034469 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 4/29/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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