Provider Demographics
NPI:1548550759
Name:MI HOSPICE AND PALLIATIVE CARE, INC.
Entity type:Organization
Organization Name:MI HOSPICE AND PALLIATIVE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:INGA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIGORIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-466-4400
Mailing Address - Street 1:6513 HOLLYWOOD BLVD
Mailing Address - Street 2:STE 213
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90028-6251
Mailing Address - Country:US
Mailing Address - Phone:323-466-4400
Mailing Address - Fax:323-786-8601
Practice Address - Street 1:6513 HOLLYWOOD BLVD
Practice Address - Street 2:STE 213
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90028-6251
Practice Address - Country:US
Practice Address - Phone:323-466-4400
Practice Address - Fax:323-786-8601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-10
Last Update Date:2011-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based