Provider Demographics
NPI:1275822454
Name:YOUR CHOICE HOSPICE, INC.
Entity Type:Organization
Organization Name:YOUR CHOICE HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O./OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:AGAZARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-335-4443
Mailing Address - Street 1:9130 GLENOAKS BLVD
Mailing Address - Street 2:SUITE # A
Mailing Address - City:SUN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91352-2650
Mailing Address - Country:US
Mailing Address - Phone:818-335-4443
Mailing Address - Fax:818-979-7666
Practice Address - Street 1:9130 GLENOAKS BLVD
Practice Address - Street 2:SUITE # A
Practice Address - City:SUN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:91352-2650
Practice Address - Country:US
Practice Address - Phone:818-335-4443
Practice Address - Fax:818-979-7666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-29
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based