Antelope Valley Supportive Care and Hospice Non-Profit
NPI #1114730553 in Lancaster, California
Provider Information
- NPI Number
- 1114730553
- Entity Type
- Organization
- Organization Name
- Antelope Valley Supportive Care and Hospice Non-Profit
- Primary Specialty
- Hospice Care, Community Based
- Enumeration Date
- Jan 29, 2025
- Last Updated
- Jan 29, 2025
Practice Location
- Address
- 1505 W AVENUE J STE 303
- City
- Lancaster
- State
- California
- ZIP Code
- 93534-2845
- Phone
- (661) 247-8345
Authorized Official
- Name
- DR. DANIEL KHODABAKHSH, MD
- Title
- CEO / MEDICAL DIRECTOR
- Phone
- (661) 247-8345
Specialties & Taxonomy Codes
| Specialty |
|---|
| Hospice Care, Community Based |
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| Monica Jackson, ADMINISTRATOR |
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| Certified Hospice Care, Inc. | |
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