- Enrollment id
- O20120202000364
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1871885970
- Multiple npi flag
- N
- Ccn
- 551791
- Associate id
- 4082871074
- Organization name
- IN THE ARMS OF GRACE HOSPICE INC.
- Incorporation date
- 2011-03-22
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 3111 LOS FELIZ BLVD
- Address line 2
- STE 107
- City
- LOS ANGELES
- State
- CA
- Zip code
- 900391599