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NPI Code Detail

MEDICARE: SOUL HOSPICE INC

MEDICARE: SOUL HOSPICE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251G00000XCommunity Based Hospice Care Agency

General Provider Information

NPI Number : 1144787763
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUL HOSPICE INC
Provider Business Mailing Address
First Line : 2377 E WASHINGTON BLVD UNIT A
Second Line :
City : PASADENA
State : CA
Zip : 91104-2038
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2377 E WASHINGTON BLVD UNIT A
Second Line :
City : PASADENA
State : CA
Zip : 91104-2038
Country : US
Telephone Number : 626-794-3333
Fax Number :
Authorized Official
Title or Position : CEO
Name : ARAM DACHIAN
Credential :
Telephone Number : 626-794-3333
Provider Enumeration Date : 03/01/2019
Last Update Date : 03/01/2019

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Directions to “SOUL HOSPICE INC ” Practice Location

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