| NPI | 1225436967 |
|---|---|
| Doing Business As | ANTELOPE VALLEY SUPPORTIVE CARE AND HOSPICE INC. |
| Entity Type | Organization |
| Authorized Contact | DANIEL KHODABAKHSH Medical Director 661-247-8345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2023-10-24 |