Provider Demographics
NPI:1710585195
Name:FULL HOSPICE CARE INC
Entity Type:Organization
Organization Name:FULL HOSPICE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HENRIK
Authorized Official - Middle Name:
Authorized Official - Last Name:ASLANYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-205-0814
Mailing Address - Street 1:14547 TITUS ST STE 102
Mailing Address - Street 2:
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-4912
Mailing Address - Country:US
Mailing Address - Phone:747-205-0814
Mailing Address - Fax:
Practice Address - Street 1:14547 TITUS ST STE 102
Practice Address - Street 2:
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-4912
Practice Address - Country:US
Practice Address - Phone:747-205-0814
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-16
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based