- Enrollment id
- O20210203000572
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1851989024
- Multiple npi flag
- N
- Ccn
- B51596
- Associate id
- 0446664429
- Organization name
- FRIENDLY HOSPICE BEST CARE INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 14545 VICTORY BLVD
- Address line 2
- STE 602A
- City
- VAN NUYS
- State
- CA
- Zip code
- 914111620