Organization
PASSAGE ENTERPRISES INCORPORATED
Active
Organization
PASSAGE ENTERPRISES INCORPORATED
Active
Other names
Community Care Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
DAMARIS FIONA SANTOS L.V.N. (OFFICE MANAGER)
(626) 335-9759
Entity
Organization
Contact information
Practice address
222 W FOOTHILL BLVD, GLENDORA, CA 91741-3356
(626) 335-9759
(626) 335-5040
Mailing address
222 W FOOTHILL BLVD, GLENDORA, CA 91741-3356
(626) 335-9759
(626) 335-5040
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
980001487
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HPC01762F
—
CA
Enumeration date
06/30/2005
Last updated
10/22/2012
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