- Enrollment id
- O20150122002698
- Enrollment state
- NV
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1952698151
- Multiple npi flag
- N
- Ccn
- 291551
- Associate id
- 7517137516
- Organization name
- 702 HOSPICE CORP
- Doing business as name
- SUNSET HOSPICE
- Incorporation date
- 2011-05-16
- Incorporation state
- NV
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 3305 SPRING MOUNTAIN RD
- Address line 2
- STE 40
- City
- LAS VEGAS
- State
- NV
- Zip code
- 891028622