Organization
BONITA SPRINGS HOSPICE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SYEDA MAMOONA OMER M.D (CEO/ADMINISTRATOR)
(408) 848-1114
Entity
Organization
Contact information
Practice address
8545 MONTEREY ST, UNIT B, GILROY, CA 95020-4273
(408) 848-1114
(408) 848-1115
Mailing address
8545 MONTEREY ST, UNIT-B, GILROY, CA 95020-4273
(408) 848-1114
(408) 848-1115
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
08/28/2014
Last updated
12/11/2014
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