Organization
NEW HAVEN HOSPICE CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROCOPIO T. MISA (AUTHORIZED OFFICIAL)
(714) 774-2498
Entity
Organization
Contact information
Practice address
1700 E. LINCOLN AVE #202, ANAHEIM, CA 92805-4323
(714) 774-2498
(714) 774-2485
Mailing address
1700 E. LINCOLN AVE #202, ANAHEIM, CA 92805-4323
(714) 774-2498
(714) 774-2485
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
080000792
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C2557938
CA SECRETARY OF STATE
CA
05
—
HPC01788F
—
CA
Enumeration date
05/26/2006
Last updated
02/18/2019
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