Organization
EMANATE HEALTH HOSPICE
Active
Other names
Citrus Valley Hospice, Inc, Emanate Health Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SALLY DE LA O (ASSISTANT DIRECTOR, BUSINESS SERVIC)
(626) 732-3105
Entity
Organization
Contact information
Practice address
820 N PHILLIPS AVE, WEST COVINA, CA 91791
(626) 859-2266
Mailing address
PO BOX 840146, LOS ANGELES, CA 90084-0146
(626) 814-0333
(626) 732-3196
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA07736F
—
CA
01
—
ZZZ22890Z
BLUE SHIELD PROV#
CA
Enumeration date
07/14/2006
Last updated
01/12/2022
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