Provider Demographics
NPI:1194012047
Name:PRIORITY HOSPICE CARE INC.
Entity Type:Organization
Organization Name:PRIORITY HOSPICE CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VAHAGN
Authorized Official - Middle Name:
Authorized Official - Last Name:SEROBYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-676-9693
Mailing Address - Street 1:5301 LAUREL CANYON BLVD. STE.130
Mailing Address - Street 2:
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91607-4968
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5301 LAUREL CANYON BLVD. STE.130
Practice Address - Street 2:
Practice Address - City:VALLEY VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91607-4968
Practice Address - Country:US
Practice Address - Phone:818-676-9693
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-29
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based