Organization
LOYALTY HOSPICE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROCOPIO T MISA (AUTHORIZED OFFICIAL)
(657) 208-1813
Entity
Organization
Contact information
Practice address
1700 E LINCOLN AVE STE 204, ANAHEIM, CA 92805-4347
(657) 208-1813
(714) 333-4638
Mailing address
1700 E LINCOLN AVE STE 204, ANAHEIM, CA 92805-4347
(657) 208-1813
(714) 333-4638
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C4238324
SECRETARY OF STATE
CA
Enumeration date
02/06/2019
Last updated
02/06/2019
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