Provider Demographics
NPI:1154957959
Name:MANN HOSPICE & PALLIATIVE CARE, INC
Entity type:Organization
Organization Name:MANN HOSPICE & PALLIATIVE CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARTASHES
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIGORYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-308-5272
Mailing Address - Street 1:5032 LANKERSHIM BLVD STE 7
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-4245
Mailing Address - Country:US
Mailing Address - Phone:818-308-5272
Mailing Address - Fax:818-301-2224
Practice Address - Street 1:5032 LANKERSHIM BLVD STE 7
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-4245
Practice Address - Country:US
Practice Address - Phone:818-308-5272
Practice Address - Fax:818-301-2224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-12
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based