Organization Name: | COMPANION CARE HOSPICE, INC. |
NPI Number: | 1184737884 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LYNN N. LEE (ADMINISTRATOR) |
Mailing Address: | 1501 W Cameron Ave Ste 110-10 West Covina |
State: | CA US |
Postal Code: | 917902742 |
Phone Number: | 6263379138 |
Fax Number: | 6269622672 |
NPI Enumeration Date: | 08/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |