- Enrollment id
- O20210818000183
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1780274555
- Multiple npi flag
- N
- Ccn
- B51700
- Associate id
- 5799180550
- Organization name
- SLL HOSPICE CARE INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 12444 VICTORY BLVD
- Address line 2
- STE 200
- City
- NORTH HOLLYWOOD
- State
- CA
- Zip code
- 916063113