| NPI | 1710118443 |
|---|---|
| Doing Business As | FOUNTAIN HOSPICE |
| Entity Type | Organization |
| Authorized Contact | MARIA THERESA ORDONEZ QUEJA CEO/President 213-382-8761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2011-01-28 |