Organization
AC HOSPICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMELIA MELSADIA CAMPBELL-AMPONSEM RN, MS, BSN, PHN (ADMINISTRATOR)
(323) 329-9244
Entity
Organization
Contact information
Practice address
3870 CRENSHAW BLVD STE 209, LOS ANGELES, CA 90008-1815
(323) 329-9244
(323) 294-5102
Mailing address
3870 CRENSHAW BLVD STE 209, LOS ANGELES, CA 90008-1815
(323) 329-9244
(323) 294-5102
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
550000460
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HPC51579F
—
CA
Enumeration date
11/12/2008
Last updated
08/31/2010
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