Organization
CB HOMECARE HOSPICE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORAZON MUGAS CO LVN (CHIEF OPERATIONAL OFFICER)
(818) 241-5910
Entity
Organization
Contact information
Practice address
512 E WILSON AVE, SUITE #204, GLENDALE, CA 91206-4351
(818) 241-5910
(818) 241-5912
Mailing address
512 E WILSON AVE, SUITE #204, GLENDALE, CA 91206-4351
(818) 241-5910
(818) 241-5912
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
550002000
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
550002000
—
CA
Enumeration date
08/22/2013
Last updated
11/27/2013
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