Organization · NPI-2

Baldwin Park Hospice INC

Hospice Care, Community Based · Baldwin Park, CA

NPI number1659964500
StatusActive
Last updated in NPPESFeb 16, 2021

Details

NPI
1659964500
Entity type
Organization (NPI-2)
Legal business name
Baldwin Park Hospice INC
Organization subpart
No
Enumeration date
Feb 11, 2021
Certification date
Feb 16, 2021
Last updated
Feb 16, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251G00000X Hospice Care, Community Based––Yes

Practice location

14650 Pacific Ave
Baldwin Park, CA 91706-5333

Phone 626-655-8585 · Fax 626-869-2238

Mailing address

14650 Pacific Ave
Baldwin Park, CA 91706-5333

Phone 626-655-8585 · Fax 626-869-2238

Authorized official

Adeliza Ortega
Cfo
6613736307

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