Provider Demographics
NPI:1326344060
Name:DOCTOR'S CHOICE HOSPICE, INC.
Entity Type:Organization
Organization Name:DOCTOR'S CHOICE HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:MILLICENT
Authorized Official - Last Name:ADEKAYODE
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:818-224-4959
Mailing Address - Street 1:23133 VENTURA BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-1183
Mailing Address - Country:US
Mailing Address - Phone:818-935-5397
Mailing Address - Fax:818-459-3925
Practice Address - Street 1:23133 VENTURA BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-1183
Practice Address - Country:US
Practice Address - Phone:818-224-4959
Practice Address - Fax:818-224-4957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-27
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based