Organization
KAIESAM HOSPICE LLC
Active
Organization
KAIESAM HOSPICE LLC
Active
Other names
kaiesam Hospice LLC
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER AVILIO CASTILLO VARGAS (CEO)
(626) 404-5815
Entity
Organization
Contact information
Practice address
9660 FLAIR DR STE 208, EL MONTE, CA 91731-3007
(626) 522-1104
(626) 522-0149
Mailing address
9660 FLAIR DR STE 208, EL MONTE, CA 91731-3007
(626) 522-1104
(626) 522-0149
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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