Organization
DESERT MIRAGE HOSPICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN ABEJAR RN (ADMINISTRATOR)
(760) 218-3448
Entity
Organization
Contact information
Practice address
34400 DATE PALM DR STE F2, CATHEDRAL CITY, CA 92234-6837
(760) 218-3448
Mailing address
12 TUCSON CIR, PALM DESERT, CA 92211-8221
(760) 218-3448
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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