Organization
STEADFAST HOSPICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD DE LA CRUZ (OWNER)
(702) 204-2475
Entity
Organization
Contact information
Practice address
5236 COLODNY DR STE 206D, AGOURA HILLS, CA 91301-4913
(747) 777-5994
Mailing address
5236 COLODNY DR STE 206D, AGOURA HILLS, CA 91301-4913
(747) 777-5994
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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