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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES COHN MBA (ADMINISTRATOR)
(858) 352-6977
Entity
Organization

Contact information

Practice address
1550 BLUEBIRD LN, LA JOLLA, CA 92037-3858
(858) 352-6977
Mailing address
1550 BLUEBIRD LN, LA JOLLA, CA 92037-3858
(858) 352-6977

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary

Other

Enumeration date
05/01/2017
Last updated
05/01/2017
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