Provider Demographics
NPI:1457959397
Name:LOYAL WAY HOSPICE AND PALLIATIVE CARE INC
Entity Type:Organization
Organization Name:LOYAL WAY HOSPICE AND PALLIATIVE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSANNA
Authorized Official - Middle Name:SUZY
Authorized Official - Last Name:SARAFIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-928-9444
Mailing Address - Street 1:301 E GLENOAKS BLVD STE 4
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91207-2115
Mailing Address - Country:US
Mailing Address - Phone:818-938-9444
Mailing Address - Fax:
Practice Address - Street 1:301 E GLENOAKS BLVD STE 4
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91207-2115
Practice Address - Country:US
Practice Address - Phone:818-938-9444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-13
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based