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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