Provider Demographics
NPI:1942768445
Name:PEACE HOSPICE AND PALLIATIVE CARE INC
Entity Type:Organization
Organization Name:PEACE HOSPICE AND PALLIATIVE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTAK
Authorized Official - Middle Name:
Authorized Official - Last Name:VAREKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-667-6797
Mailing Address - Street 1:13743 VICTORY BLVD STE F
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-2316
Mailing Address - Country:US
Mailing Address - Phone:310-667-6797
Mailing Address - Fax:310-774-0880
Practice Address - Street 1:13743 VICTORY BLVD STE F
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-2316
Practice Address - Country:US
Practice Address - Phone:310-667-6797
Practice Address - Fax:310-774-0880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-04
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based