| Organization Name: | 702 HOSPICE CORP |
| NPI Number: | 1952698151 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MIKE WANG (PRESIDENT) |
| Mailing Address: | 3305 Spring Mountain Rd 47 Las Vegas |
| State: | NV US |
| Postal Code: | 891028609 |
| Phone Number: | 7022867183 |
| Fax Number: | |
| NPI Enumeration Date: | 07/08/2011 |
| NPI Last Update Date: | 09/25/2014 |
| 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: | |