Organization
GRANDE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOYCE ABIERA RN (PRESIDENT)
(626) 257-1303
Entity
Organization
Contact information
Practice address
1493 N MONTEBELLO BLVD, MONTEBELLO, CA 90640-2586
(626) 257-1303
Mailing address
1493 N MONTEBELLO BLVD, MONTEBELLO, CA 90640-2586
(626) 257-1303
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C3596002
CORPORATION NUMBER
CA
Enumeration date
09/04/2013
Last updated
09/04/2013
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