Organization
CLEAR WATER HOSPICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUDY MOHAMMED (CEO)
(747) 262-5396
Entity
Organization
Contact information
Practice address
6931 VAN NUYS BLVD STE 315A, VAN NUYS, CA 91405-3998
(747) 262-5396
(818) 465-3389
Mailing address
6931 VAN NUYS BLVD STE 315A, VAN NUYS, CA 91405-3998
(747) 262-5396
(818) 465-3389
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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