Organization
BONLAVIE HOSPICE, INC. - SAN JOSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TU PHUNG (ADMINISTRATOR)
(213) 321-4125
Entity
Organization
Contact information
Practice address
2611 SENTER RD STE 212, SAN JOSE, CA 95111-1186
(213) 321-4125
Mailing address
2611 SENTER RD STE 212, SAN JOSE, CA 95111-1186
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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