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General NPI Number Information
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NPI Number | 1063086049
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Entity Type | Organization
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Legal Business Name | DESERT CITY HOSPICE CARE INC
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Dates
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Enumeration Date | 05/14/2021
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Last Update Date | 05/14/2021
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Provider Practice Location Address
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Address Line | 68457 E PALM CANYON DR STE 5
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City | CATHEDRAL CITY
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State | CA
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Zip | 92234-5403
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Country | US
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Telephone | 760-332-5004
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Fax | 760-332-5046
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Provider Business Mailing Address
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Address Line | 68457 E PALM CANYON DR STE 5
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City | CATHEDRAL CITY
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State | CA
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Zip | 92234-5403
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Country | US
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Telephone | 760-332-5004
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Fax | 760-332-5046
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MR. SAMVEL KBUSHYAN
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Credential |
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Telephone | 323-844-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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