Provider Demographics
NPI:1124791207
Name:MSA HOSPICE AND PALLIATIVE CARE INC
Entity type:Organization
Organization Name:MSA HOSPICE AND PALLIATIVE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MERI
Authorized Official - Middle Name:SAHAKIAN
Authorized Official - Last Name:AVAGYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-313-6305
Mailing Address - Street 1:400 S GLENDALE AVE STE I
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-2285
Mailing Address - Country:US
Mailing Address - Phone:747-313-6305
Mailing Address - Fax:747-313-6306
Practice Address - Street 1:400 S GLENDALE AVE STE I
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-2285
Practice Address - Country:US
Practice Address - Phone:747-313-6305
Practice Address - Fax:747-313-6306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-26
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based