Organization · NPI-2
Supra Hospice INC.
Hospice Care, Community Based · Baldwin Park, CA
NPI number1952983207
StatusActive
Last updated in NPPESMar 7, 2022
Details
- NPI
- 1952983207
- Entity type
- Organization (NPI-2)
- Legal business name
- Supra Hospice INC.
- Organization subpart
- No
- Enumeration date
- Apr 26, 2021
- Certification date
- Mar 3, 2022
- Last updated
- Mar 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251G00000X | Hospice Care, Community Based | – | – | Yes |
Practice location
14540 Ramona Blvd Ste 214Baldwin Park, CA 91706-3386
Phone 818-925-4648
Mailing address
14540 Ramona Blvd Ste 214Baldwin Park, CA 91706-3386
Phone 818-925-4648
Authorized official
Luisa Rojas
Ceo
8189254648
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