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NPI Code Detail

MEDICARE: ANGEL HOSPICE PROVIDERS INC

MEDICARE: ANGEL HOSPICE PROVIDERS 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

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1751570OTHERCAPTAN
2C3533951OTHERCACORPORATION NUMBER

General Provider Information

NPI Number : 1427390541
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANGEL HOSPICE PROVIDERS INC
Provider Business Mailing Address
First Line : 555 S SUNRISE WAY STE 212
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92264-7869
Country : US
Telephone Number : 760-656-4077
Fax Number : 760-656-4737
Provider Business Practice Location Address
First Line : 555 S SUNRISE WAY STE 212
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92264-7869
Country : US
Telephone Number : 760-656-4077
Fax Number : 760-656-4737
Authorized Official
Title or Position : CFO
Name : MRS. CLAIRE L CAMUA
Credential :
Telephone Number : 760-656-4077
Provider Enumeration Date : 03/27/2013
Last Update Date : 05/23/2023

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Directions to “ANGEL HOSPICE PROVIDERS INC ” Practice Location

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