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Organization
VIDA HOSPICE SERVICES SOUTHERN INC
Active
Organization
VIDA HOSPICE SERVICES SOUTHERN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAISY SILVA (ADMINISTRATOR)
(847) 602-3265
Entity
Organization
Contact information
Practice address
95 E SAN YSIDRO BLVD STE B, SAN YSIDRO, CA 92173-2616
(947) 602-3265
Mailing address
95 E SAN YSIDRO BLVD STE B, SAN YSIDRO, CA 92173-2616
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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