Organization Name: | ABRIDGE HOSPICE AND PALLIATIVE CARE LLC |
NPI Number: | 1003068172 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KELTON MOORE (CEO/ADM) |
Mailing Address: | 973 Vale Terrace Dr Suite 108 Vista |
State: | CA US |
Postal Code: | 920845251 |
Phone Number: | 7606430400 |
Fax Number: | 7606430402 |
NPI Enumeration Date: | 10/21/2008 |
NPI Last Update Date: | 01/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 550000796 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |