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Organization

HOSPICE DE LA FRONTERA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SERGIO CONTI (CEO)
(619) 719-3488
Entity
Organization

Contact information

Practice address
2626 CORONADO AVE SPC 66, SAN DIEGO, CA 92154-2126
(619) 719-3488
Mailing address
2626 CORONADO AVE SPC 66, SAN DIEGO, CA 92154-2126
(619) 719-3488

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F3023165
DRIVER LICENSE
CA
Enumeration date
02/19/2020
Last updated
02/19/2020
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