- Enrollment id
- O20211230000151
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1255931135
- Multiple npi flag
- N
- Ccn
- B41521
- Associate id
- 9133510100
- Organization name
- BEST QUALITY HOSPICE AND PALLIATIVE CARE INC
- Incorporation date
- 2020-10-12
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 6308 WOODMAN AVE
- Address line 2
- STE 104
- City
- VAN NUYS
- State
- CA
- Zip code
- 914012370