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Organization

PREMIUM HOSPICE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANNABELLE GATCHALIAN AGULTO (ADMINISTRATOR)
(562) 929-7221
Entity
Organization

Contact information

Practice address
12241 FIRESTONE BLVD, SUITE A & B, NORWALK, CA 90650-4323
(562) 929-7221
(562) 929-7224
Mailing address
12241 FIRESTONE BLVD, SUITE A & B, NORWALK, CA 90650-4323
(562) 929-7221
(562) 929-7224

Taxonomy

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

Other

Enumeration date
10/21/2010
Last updated
10/21/2010
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