Organization
NOVA ONE HOSPICE CARE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCK ANTON TAMAYO (COMPLIANCE OFFICER)
(714) 829-8903
Entity
Organization
Contact information
Practice address
1440 N HARBOR BLVD STE 924B, FULLERTON, CA 92835-4127
(714) 770-0152
Mailing address
1440 N HARBOR BLVD STE 924B, FULLERTON, CA 92835-4127
(714) 770-0152
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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