Blue Heaven Hospice & Palliative Care INC
NPI #1518108950 in Altadena, California
Provider Information
- NPI Number
- 1518108950
- Entity Type
- Organization
- Organization Name
- Blue Heaven Hospice & Palliative Care INC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Mar 16, 2009
- Last Updated
- Apr 11, 2012
Practice Location
- Address
- 2117 LAKE AVE
- Address 2
- 102
- City
- Altadena
- State
- California
- ZIP Code
- 91001-2462
- Phone
- (626) 628-0826
Authorized Official
- Name
- MR. EDWARD JOUHARYAN I
- Title
- ADMINISTRATOR
- Phone
- (626) 628-2826
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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