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Green Road Hospice, Inc.

NPI Registration Record

Provider / OrganizationNPIDate Certified
GREEN ROAD HOSPICE, INC.19529109602020-07-26
Entity TypeOrganization
Provider OrganizationGREEN ROAD HOSPICE, INC.
Practice Office Address14545 FRIAR ST STE 284
VAN NUYS, CA US
Practice Office Telephone7472627255
Mailing Address14545 FRIAR ST STE 284
VAN NUYS, CA 914112397 US
Business Telephone7472627255
Authorized OfficialELEN HOVHANNISYAN, PRES./CEO
7472627255
HPT Codes
CodeLicense NoState
251G00000X PRIMARY
OPI Codes
Governmental Registrations [CAGE/NCAGE/DUNS]

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