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Organization

NEW LIGHT PALLIATIVE CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS LUCIA BASILIO INGENTE RN (CEO ADMINISTRATOR)
(310) 503-8037
Entity
Organization

Contact information

Practice address
1517 S LA CIENEGA BLVD, LOS ANGELES, CA 90035-3711
(310) 503-8037
Mailing address
1517 S LA CIENEGA BLVD, LOS ANGELES, CA 90035-3711
(310) 503-8037

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary

Other

Enumeration date
05/13/2020
Last updated
05/13/2020
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