Provider Demographics
NPI:1891366480
Name:LIV HOSPICE AND PALLIATIVE CARE, INC.
Entity Type:Organization
Organization Name:LIV HOSPICE AND PALLIATIVE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MIGUEL SALVADOR
Authorized Official - Middle Name:
Authorized Official - Last Name:DOLAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-946-6745
Mailing Address - Street 1:15720 VENTURA BLVD STE 213
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-2954
Mailing Address - Country:US
Mailing Address - Phone:818-946-6745
Mailing Address - Fax:
Practice Address - Street 1:15720 VENTURA BLVD STE 213
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-2954
Practice Address - Country:US
Practice Address - Phone:818-946-6745
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-06
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based