- Enrollment id
- O20220818000268
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1225581366
- Multiple npi flag
- N
- Ccn
- B51727
- Associate id
- 9335522747
- Organization name
- ALORIA HEALTHCARE
- Incorporation date
- 2016-07-12
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 5050 PALO VERDE ST
- Address line 2
- STE 213
- City
- MONTCLAIR
- State
- CA
- Zip code
- 917632334