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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