Organization
BLUE WAVE HOSPICE INC.
Active
Organization
BLUE WAVE HOSPICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK MESIAS (CEO)
(714) 713-6140
Entity
Organization
Contact information
Practice address
2323 W LINCOLN AVE # 207A, ANAHEIM, CA 92801-5100
(714) 713-6140
(714) 948-8914
Mailing address
2331 W LINCOLN AVE STE 100, ANAHEIM, CA 92801-5103
(714) 713-6140
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
09/01/2020
Last updated
06/10/2023
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