Organization
HEARTEN HOSPICE CARE SOUTHERN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TU PHUNG (ADMINISTRATOR)
(213) 321-4125
Entity
Organization
Contact information
Practice address
4550 KEARNY VILLA RD STE 107, SAN DIEGO, CA 92123-1558
(213) 321-4125
Mailing address
4550 KEARNY VILLA RD STE 107, SAN DIEGO, CA 92123-1558
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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