- Enrollment id
- O20201217000028
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1477170561
- Multiple npi flag
- N
- Ccn
- A11777
- Associate id
- 1951713890
- Organization name
- LOVE AND PEACE HOSPICE INC
- Incorporation date
- 2020-05-21
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 22048 SHERMAN WAY
- Address line 2
- STE 312
- City
- CANOGA PARK
- State
- CA
- Zip code
- 913033014