Organization
GENESIS HEALTH SERVICES,INC.
Active
Other names
Fountain Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA THERESA ORDONEZ QUEJA RN (CEO/PRESIDENT)
(213) 382-8761
Entity
Organization
Contact information
Practice address
2542 W 3RD ST, SUITE B, LOS ANGELES, CA 90057-1929
(213) 382-8761
(213) 382-8923
Mailing address
2542 W 3RD ST, SUITE B, LOS ANGELES, CA 90057-1929
(213) 382-8761
(213) 382-8923
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
07/29/2009
Last updated
01/28/2011
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