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Organization
WELLCARE SPECIALIST HOSPICE INCORPORATED
Active
Organization
WELLCARE SPECIALIST HOSPICE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARY MONDEJAR TESORO (ADMINISTRATOR)
(714) 462-6205
Entity
Organization
Contact information
Practice address
1745 W ORANGEWOOD AVE STE 101, ORANGE, CA 92868-2041
(714) 462-6205
(714) 462-6255
Mailing address
1745 W ORANGEWOOD AVE STE 101, ORANGE, CA 92868-2041
(714) 462-6205
(714) 462-6255
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609234400
—
CA
Enumeration date
02/08/2016
Last updated
06/01/2023
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