Provider Demographics
NPI:1235737024
Name:FAMILY AID HOSPICE & PALLIATIVE CARE INC
Entity Type:Organization
Organization Name:FAMILY AID HOSPICE & PALLIATIVE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MAURICE
Authorized Official - Middle Name:
Authorized Official - Last Name:LACSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-217-7488
Mailing Address - Street 1:7345 TOPANGA CANYON BLVD STE 120
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-1244
Mailing Address - Country:US
Mailing Address - Phone:818-217-7488
Mailing Address - Fax:818-337-3010
Practice Address - Street 1:7345 TOPANGA CANYON BLVD STE 120
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-1244
Practice Address - Country:US
Practice Address - Phone:818-217-7488
Practice Address - Fax:818-337-3010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-13
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based