# PRIMACARE HOSPICE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104422112
- **Authorized official:** MARISTHEL MARALIT (OWNER/PRESIDENT)
- **Authorized official phone:** (626) 412-6643

## Contact information

- **Practice address:** 17004 S RAYMOND PL, GARDENA, CA 90247-5741
- **Practice address phone:** (714) 657-0608
- **Mailing address:** 17004 S RAYMOND PL, GARDENA, CA 90247-5741
- **Mailing address phone:** (714) 657-0608

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/07/2020
- **Last updated:** 12/07/2020