Organization
SUPRA HOSPICE INC.
Active
Organization
SUPRA HOSPICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUISA ROJAS (CEO)
(818) 925-4648
Entity
Organization
Contact information
Practice address
14540 RAMONA BLVD STE 214, BALDWIN PARK, CA 91706-3386
(818) 925-4648
Mailing address
14540 RAMONA BLVD STE 214, BALDWIN PARK, CA 91706-3386
(818) 925-4648
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
04/26/2021
Last updated
03/07/2022
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