Organization
FRONTIDA HOSPICE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEWALE ODUKOYA MD (PRESIDENT)
(909) 559-7455
Entity
Organization
Contact information
Practice address
3609 SMITH BARRY RD STE 106, PANTEGO, TX 76013-4631
(909) 559-7455
Mailing address
3609 SMITH BARRY RD STE 106, PANTEGO, TX 76013-4631
(909) 559-7455
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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