- Enrollment id
- O20210901000267
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1902492937
- Multiple npi flag
- N
- Ccn
- B31631
- Associate id
- 6507262409
- Organization name
- ALLEVIATE HOSPICE CARE INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 11565 LAUREL CANYON BLVD
- Address line 2
- STE 218
- City
- SAN FERNANDO
- State
- CA
- Zip code
- 913404652