- Enrollment id
- O20130823000774
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1326480617
- Multiple npi flag
- N
- Ccn
- 921551
- Associate id
- 4486897436
- Organization name
- METRO MEDICAL SERVICES INC.
- Incorporation date
- 2013-07-01
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 9420 TOPANGA CANYON BLVD
- Address line 2
- STE 207
- City
- CHATSWORTH
- State
- CA
- Zip code
- 913115759