| Organization Name: | AC HOSPICE, INC. |
| NPI Number: | 1497909832 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMELIA MELSADIA CAMPBELL-AMPONSEM (ADMINISTRATOR) |
| Mailing Address: | 3870 Crenshaw Blvd Ste 209 Los Angeles |
| State: | CA US |
| Postal Code: | 900081815 |
| Phone Number: | 3233299244 |
| Fax Number: | 3232945102 |
| NPI Enumeration Date: | 11/12/2008 |
| NPI Last Update Date: | 08/31/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 550000460 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |