Organization
FORTITUDE HOSPICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE GRACE GAVINA (CEO)
(562) 352-8868
Entity
Organization
Contact information
Practice address
520 N BROOKHURST ST STE 132, ANAHEIM, CA 92801-5233
(562) 352-8868
Mailing address
520 N BROOKHURST ST STE 132, ANAHEIM, CA 92801-5233
(562) 352-8868
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
11/01/2018
Last updated
07/14/2021
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