Organization
ADYA HOSPICE & PALLIATIVE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT BRYAN VICENCIO REYES R.N. (ADMINISTRATOR)
(650) 922-3707
Entity
Organization
Contact information
Practice address
1652 W TEXAS ST STE 207, FAIRFIELD, CA 94533-6080
(707) 200-2989
(707) 306-7720
Mailing address
1652 W TEXAS ST STE 207, FAIRFIELD, CA 94533-6080
(707) 200-2989
(707) 306-7720
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
02/10/2020
Last updated
12/27/2021
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