- Enrollment id
- O20150504000258
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1760725568
- Multiple npi flag
- N
- Ccn
- 921707
- Associate id
- 2567608482
- Organization name
- ABSOLUTE HOSPICE & PALLIATIVE CARE INC
- Incorporation date
- 2013-03-28
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 17215 STUDEBAKER RD
- Address line 2
- STE 215
- City
- CERRITOS
- State
- CA
- Zip code
- 907032523