Provider Demographics
NPI:1063088011
Name:LIBERTY PALLIATIVE CARE
Entity type:Organization
Organization Name:LIBERTY PALLIATIVE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VARDUHI
Authorized Official - Middle Name:
Authorized Official - Last Name:HAKOBYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-227-8982
Mailing Address - Street 1:12500 RIVERSIDE DR STE 214
Mailing Address - Street 2:
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91607-3468
Mailing Address - Country:US
Mailing Address - Phone:818-227-8982
Mailing Address - Fax:818-227-8965
Practice Address - Street 1:12500 RIVERSIDE DR STE 214
Practice Address - Street 2:
Practice Address - City:VALLEY VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91607-3468
Practice Address - Country:US
Practice Address - Phone:818-227-8982
Practice Address - Fax:818-227-8965
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-01
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based