Organization
ST ANTHONY HOSPICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CORAZON MUGAS CO (CEO)
(818) 521-9714
Entity
Organization
Contact information
Practice address
512 E WILSON AVE, SUITE 208, GLENDALE, CA 91206-4351
(818) 241-0082
(818) 241-0018
Mailing address
512 E WILSON AVE, SUITE 208, GLENDALE, CA 91206-4351
(818) 241-0082
(818) 241-0018
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HPC01800F
—
CA
Enumeration date
05/19/2007
Last updated
11/28/2007
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