Organization
DIVINE HAVEN HOSPICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN RAYMOND OBLIGAR (SECRETARY)
(800) 903-1372
Entity
Organization
Contact information
Practice address
5122 KATELLA AVE STE 310A, LOS ALAMITOS, CA 90720-2826
(800) 903-1372
(800) 903-4614
Mailing address
5122 KATELLA AVE STE 310A, LOS ALAMITOS, CA 90720-2826
(800) 903-1372
(800) 903-4614
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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