Organization
SUMMER BREEZE HOSPICE AND PALLIATIVE CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WELLINGTON CARLOS JR. (PRESIDENT / CEO)
(213) 494-8761
Entity
Organization
Contact information
Practice address
609 W BEVERLY BLVD, SUITE A, MONTEBELLO, CA 90640-3623
(323) 483-5078
(323) 978-1632
Mailing address
609 W BEVERLY BLVD, SUITE A, MONTEBELLO, CA 90640-3623
(323) 483-5078
(323) 978-1632
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396156832
NPI
CA
Enumeration date
05/19/2014
Last updated
08/07/2021
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