- Enrollment id
- O20201223001657
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1841812062
- Multiple npi flag
- N
- Ccn
- B21555
- Associate id
- 5294147831
- Organization name
- SOLID CARE HOSPICE AND PALLIATIVE SERVICES INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 171 N ALTADENA DR
- Address line 2
- STE 210
- City
- PASADENA
- State
- CA
- Zip code
- 911077351