Organization · Type 2 NPI

Hospice Number 12 Inc

Community Based Hospice Care Agency · West Covina, CA

NPI number 1104403393 Active

Practice location

260 S Glendora Ave Ste 208
West Covina, CA 91790-3041

Call (669) 300-0003 Map

Specialties and licenses

TaxonomyCodeLicense
Community Based Hospice Care Agency Primary 251G00000XNone listed

Community Based Hospice Care Agency: Definition to come...

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About NPI 1104403393

Hospice Number 12 Inc's National Provider Identifier is 1104403393, issued on Mar 25, 2021. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in West Covina, CA. The record was last updated on Mar 25, 2021.