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General NPI Number Information
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NPI Number | 1295301067
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Entity Type | Organization
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Legal Business Name | SERENE COMFORT HOSPICE, INC
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Dates
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Enumeration Date | 06/01/2021
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Last Update Date | 06/01/2021
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Provider Practice Location Address
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Address Line | 23545 CRENSHAW BLVD STE 202A
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City | TORRANCE
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State | CA
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Zip | 90505-5261
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Country | US
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Telephone | 424-732-8042
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Fax |
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Provider Business Mailing Address
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Address Line | 23545 CRENSHAW BLVD STE 202A
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City | TORRANCE
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State | CA
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Zip | 90505-5261
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Country | US
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Telephone | 424-732-8042
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | ISABELLA MARIETTA GRADNEY
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Credential |
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Telephone | 310-732-8042
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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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