| Organization Name: | PRIDE HOSPICE CARE INC. |
| NPI Number: | 1447691282 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NATHAN JULIAN (ADMINISTRATOR) |
| Mailing Address: | 1550 N San Fernando Rd Suite B Los Angeles |
| State: | CA US |
| Postal Code: | 900651225 |
| Phone Number: | 8184785550 |
| Fax Number: | 6263167099 |
| NPI Enumeration Date: | 07/09/2013 |
| NPI Last Update Date: | 07/09/2013 |
| 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: | |