Healthcare Provider Details

I. General information

NPI: 1780090647
Provider Name (Legal Business Name): SAUNDERS HOSPICE,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2014
Last Update Date: 07/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9017 RESEDA BLVD # 209
NORTHRIDGE CA
91324-3922
US

IV. Provider business mailing address

9017 RESEDA BLVD # 209
NORTHRIDGE CA
91324-3922
US

V. Phone/Fax

Practice location:
  • Phone: 818-669-7609
  • Fax:
Mailing address:
  • Phone: 818-669-7609
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MISS CARMEN CORDER
Title or Position: CONTACT PERSON
Credential:
Phone: 323-828-5658