Organization Name: | KINDERCARE HOSPICE, INC. |
NPI Number: | 1538425970 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL T MALABUG (CFO) |
Mailing Address: | 725 S Glendale Ave Suite M Glendale |
State: | CA US |
Postal Code: | 912052395 |
Phone Number: | 8189134669 |
Fax Number: | |
NPI Enumeration Date: | 04/10/2012 |
NPI Last Update Date: | 04/10/2012 |
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: |