Organization
PRIME HOSPICE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN MOHSENZADEH (CEO)
(805) 522-5354
Entity
Organization
Contact information
Practice address
2139 TAPO ST, SUITE 222, SIMI VALLEY, CA 93063-3478
(805) 504-7830
(805) 504-7812
Mailing address
2139 TAPO ST, #222, SIMI VALLEY, CA 93063
(805) 522-5354
(805) 504-7812
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
Primary
—
CA
Other
Enumeration date
03/26/2009
Last updated
11/15/2016
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