- Enrollment id
- O20201006002016
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1790331130
- Multiple npi flag
- N
- Ccn
- B21551
- Associate id
- 8921427295
- Organization name
- VALIANT HOSPICE CARE INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 7321 ATOLL AVE
- Address line 2
- STE 106
- City
- NORTH HOLLYWOOD
- State
- CA
- Zip code
- 916054107