| NPI | 1942923958 |
|---|---|
| Doing Business As | SOURCEONE HOSPICE & PALLIATIVE CARE, LLC |
| Entity Type | Organization |
| Authorized Contact | SHELLYDALE PRINCESS GRAY Owner/Administrator 310-357-0398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2022-09-23 |