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Organization

GOOD SAMARITAN HOSPICE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CARLOS PICARDO VALLE RN (PRESIDENT)
(951) 415-3311
Entity
Organization

Contact information

Practice address
330 S MAPLE ST, UNIT J, CORONA, CA 92880-6947
(951) 271-7900
Mailing address
330 S MAPLE ST UNIT J2, CORONA, CA 92880-6947
(951) 271-7900

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary

Other

Enumeration date
11/01/2006
Last updated
07/16/2007
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