Organization
CHAMPION HOSPICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANTE BAUTISTA OWNER (OWNER)
(909) 641-3016
Entity
Organization
Contact information
Practice address
350 W 9TH AVE STE 209, ESCONDIDO, CA 92025-5053
(619) 780-3244
(619) 780-3229
Mailing address
350 W 9TH AVE STE 209, ESCONDIDO, CA 92025-5053
(619) 780-3244
(619) 780-3229
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
06/17/2020
Last updated
04/01/2021
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