Provider Demographics
NPI:1386215010
Name:TOLUCA HOSPICE SERVICES, INC.
Entity Type:Organization
Organization Name:TOLUCA HOSPICE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CFO/SECRETARY/BM
Authorized Official - Prefix:
Authorized Official - First Name:ANGELIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:BADALYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-699-6412
Mailing Address - Street 1:117 E COLORADO BLVD STE 652
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-1938
Mailing Address - Country:US
Mailing Address - Phone:800-699-6412
Mailing Address - Fax:626-628-3347
Practice Address - Street 1:117 E COLORADO BLVD STE 652
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-1938
Practice Address - Country:US
Practice Address - Phone:800-699-6412
Practice Address - Fax:626-628-3347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-03
Last Update Date:2021-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based