Organization
HARBOR HOSPICE OF LOS ANGELES, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD THIBODAUX (CHIEF DATA OFFICER)
(409) 813-2332
Entity
Organization
Contact information
Practice address
3406 COLLEGE ST, SUITE 200, BEAUMONT, TX 77701-4612
(409) 813-2332
(409) 232-0573
Mailing address
4955 VAN NUYS BLVD, SUITE 502, SHERMAN OAKS, CA 91403-1801
(213) 358-5090
(818) 528-1255
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
02/01/2013
Last updated
01/29/2016
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