- Enrollment id
- O20140815000945
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1174940787
- Multiple npi flag
- N
- Ccn
- 751731
- Associate id
- 2365669371
- Organization name
- ANGELS HAND HOSPICE CARE INC
- Incorporation date
- 2013-09-27
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 2501 W BURBANK BLVD
- Address line 2
- STE 310
- City
- BURBANK
- State
- CA
- Zip code
- 915052347