Organization
BLACK MOUNTAIN HEALTHCARE LLC
Active
Other names
Seaport Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER TUELLER (SECRETARY)
(208) 207-2726
Entity
Organization
Contact information
Practice address
662 ENCINITAS BLVD STE 201, ENCINITAS, CA 92024-6789
(858) 634-5870
Mailing address
662 ENCINITAS BLVD STE 201, ENCINITAS, CA 92024-6789
(858) 634-5870
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
06/12/2020
Last updated
06/18/2025
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