Organization
BLUE WATER HOSPICE INC
Active
Organization
BLUE WATER HOSPICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN CABRERA (OWNER)
(310) 220-1499
Entity
Organization
Contact information
Practice address
12361 LEWIS ST STE 201, GARDEN GROVE, CA 92840-4617
(657) 465-5381
(657) 465-5382
Mailing address
12361 LEWIS ST STE 201, GARDEN GROVE, CA 92840-4617
(657) 465-5381
(657) 465-5382
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
02/04/2015
Last updated
04/26/2023
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