Organization
ESPECIAL CARE HOSPICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIZALINA CUSTODIO RN BSN (ADMINISTRATOR / DPCS)
(818) 387-6280
Entity
Organization
Contact information
Practice address
6740 VESPER AVE, SUITE 201, VAN NUYS, CA 91405-4612
(818) 387-6280
(888) 700-5983
Mailing address
6740 VESPER AVE, SUITE 201, VAN NUYS, CA 91405-4612
(818) 387-6280
(888) 700-5983
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
5550002388
CA
Other
Enumeration date
11/27/2013
Last updated
11/27/2013
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