MEDICARE: WORRYFREE HOSPICE LLC

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
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1932793486
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WORRYFREE HOSPICE LLC

Provider Business Mailing Address
First Line	:	1201 ARCHER ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92109-1228
Country	:	US
Telephone Number	:	858-349-3501
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 ARCHER ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92109-1228
Country	:	US
Telephone Number	:	858-349-3501
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MICHAEL SONG
Credential	:	MD
Telephone Number	:	858-349-3501

Provider Enumeration Date	:	02/25/2021
Last Update Date	:	02/25/2021

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Directions to “WORRYFREE HOSPICE LLC ” Practice Location

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