05D2056707 CLIA NUMBER - Victory Hospice Care, Inc.

Laboratory Demographics

CLIA Number: 05D2056707

Facility Name: Victory Hospice Care, Inc.

Facility Address:
6422 Bellingham Ave., Ste. 204
North Hollywood, CA
ZIP 91606
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Facility Phone Number: (818) 392-5498

Facility Type: HOSPICE

Certificate Type: Waiver

NPI Number: 1255618039

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name Field Value
CLIA Number 05D2056707
LAB Type HOSPICE
Facility Name Victory Hospice Care, Inc.
Street 6422 Bellingham Ave., Ste. 204
City North Hollywood
State CA
ZIP 91606
Phone (818) 392-5498

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This page was last updated on: 12/19/2019