Omegalife Hospice Of California, INC.
Hospice Care, Community Based in Torrance, CA. Organization (NPI-2).
NPI number1982174512
StatusActive
Last updated in NPPESDec 11, 2020
Details
- NPI
- 1982174512
- Entity type
- Organization (NPI-2)
- Legal business name
- Omegalife Hospice Of California, INC.
- Organization subpart
- No
- Enumeration date
- Nov 27, 2018
- Certification date
- Dec 11, 2020
- Last updated
- Dec 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251G00000X | Hospice Care, Community Based | – | – | Yes |
Other names
- Omegalife Hospice Of California, INC. (Doing Business As)
Practice location
21151 S Western Ave Ste 256Torrance, CA 90501-1724
Phone 310-755-2540
Mailing address
21151 S Western Ave Ste 256Torrance, CA 90501-1724
Phone 310-755-2540
Authorized official
Shellydale P Gray
Administrator
3103570398
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