Organization
STAY HOME HOSPICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHASHAYAR ROHOLAHI (CEO)
(626) 888-7642
Entity
Organization
Contact information
Practice address
401 E MISSION RD, B, SAN GABRIEL, CA 91776-2824
(626) 888-7642
Mailing address
401 E MISSION RD, B, SAN GABRIEL, CA 91776-2824
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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