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Organization
WISTERIA HOSPICE, INC.
Active
Organization
WISTERIA HOSPICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDITH RAGO (PRESIDENT)
(562) 682-1676
Entity
Organization
Contact information
Practice address
4182 N VIKING WAY, STE 216, LONG BEACH, CA 90808-1491
(562) 431-3308
(562) 431-9967
Mailing address
4182 N VIKING WAY, STE 216, LONG BEACH, CA 90808-1491
(562) 682-1678
(562) 431-9967
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
CA
251G00000X
Community Based Hospice Care Agency
—
—
Other
Enumeration date
12/27/2010
Last updated
02/25/2011
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