Organization
SHEPHERD MANOR HOSPICELLC
Active
Organization
SHEPHERD MANOR HOSPICELLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDA SHEPPARDJOHNSON (MANAGERMEMBER)
(562) 900-4563
Entity
Organization
Contact information
Practice address
13017 ARTESIA BLVD, SUITE 120D, CERRITOS, CA 90703-1364
(562) 900-4563
Mailing address
15522 WILDER AVE, NORWALK, CA 90650-7345
(562) 900-4563
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
05/18/2007
Last updated
09/21/2007
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