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Organization

LIGHTBRIDGE HOSPICE, LLC

Active
Other names
LIGHTBRIDGE HOSPICE
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JILL MENDLEN CEO (CEO)
(858) 458-2992
Entity
Organization

Contact information

Practice address
6155 CORNERSTONE COURT EAST, SUITE 220, SAN DIEGO, CA 92121-4737
(858) 458-2992
(858) 458-3655
Mailing address
6155 CORNERSTONE CT E, SUITE 220, SAN DIEGO, CA 92121-4737
(858) 458-2992
(858) 458-3655

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
080000772
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
HPC01763F
CA
Enumeration date
07/20/2005
Last updated
07/06/2011
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