- Enrollment id
- O20200512002469
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1285275974
- Multiple npi flag
- N
- Ccn
- B21756
- Associate id
- 6305277146
- Organization name
- PEACE & COMFORT HOSPICE AND PALLIATIVE CARE INC
- Incorporation date
- 2019-09-06
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 16200 VENTURA BLVD
- Address line 2
- STE 310A
- City
- ENCINO
- State
- CA
- Zip code
- 914364929