| NPI | 1396319091 |
|---|---|
| Former Legal Business Name | KAIESAM HOSPICE LLC |
| Entity Type | Organization |
| Authorized Contact | WALTER AVILIO CASTILLO VARGAS CEO 626-404-5815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2021-05-17 |