| NPI | 1124479670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURENCE JOSEPH WAGNER President/CEO 818-903-3774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: TX 017852) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2025-04-29 |