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Organization

ANGEL CITY HOSPICE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JONE JADE BAUTISTA (PRESIDENT)
(714) 264-1620
Entity
Organization

Contact information

Practice address
4465 S BUFFALO DR, SUITE C, LAS VEGAS, NV 89147-6231
(702) 821-1120
Mailing address
4465 S BUFFALO DR, SUITE C, LAS VEGAS, NV 89147-6231
(702) 821-1120

Taxonomy

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

Other

Enumeration date
12/04/2007
Last updated
11/08/2010
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