Provider Demographics
NPI:1003209784
Name:ONE LEGACY HOSPICE & PALLIATIVE CARE, INC
Entity Type:Organization
Organization Name:ONE LEGACY HOSPICE & PALLIATIVE CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARI
Authorized Official - Middle Name:
Authorized Official - Last Name:HAKOBIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-636-4945
Mailing Address - Street 1:178 S VICTORY BLVD STE 107
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-2805
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:178 S VICTORY BLVD STE 107
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-2805
Practice Address - Country:US
Practice Address - Phone:818-588-3273
Practice Address - Fax:818-588-3604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-05
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based