Organization
LIFE CARE HOSPICE CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIVINA D. RUSSELL RN (DPCS/PRESIDENT)
(323) 807-5196
Entity
Organization
Contact information
Practice address
5539 E SPRING ST, LONG BEACH, CA 90808-3736
(714) 222-7665
Mailing address
5539 E SPRING ST., LONG BEACH, CA 90808
(714) 222-7665
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
25G00000X
CA
Other
Enumeration date
04/15/2007
Last updated
01/27/2009
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