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Organization

ARCHANGEL LIGHT HOSPICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LESLEY PRINCE MD (PRESIDENT)
(213) 344-9198
Entity
Organization

Contact information

Practice address
2775 TAPO ST STE 202, SIMI VALLEY, CA 93063-0467
(818) 388-7082
(818) 514-2068
Mailing address
2775 TAPO ST STE 202, SIMI VALLEY, CA 93063-0467
(818) 388-7082
(818) 514-2068

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary

Other

Enumeration date
06/29/2021
Last updated
06/29/2021
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