- Enrollment id
- O20181228001156
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1780090647
- Multiple npi flag
- N
- Ccn
- B51628
- Associate id
- 2860737574
- Organization name
- SAUNDERS HOSPICE LLC
- Incorporation date
- 2014-05-15
- Incorporation state
- CA
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 9017 RESEDA BLVD
- Address line 2
- STE 209
- City
- NORTHRIDGE
- State
- CA
- Zip code
- 913243981