Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice |
| NPI Number | 1205260130 |
| LBN Legal business name | CANYON LAKE HOSPICE, INC. |
| Authorized official | MAYA THONA - (AUTHORIZED OFFICIAL/DPCS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/28/2013 |
| Last updated | 04/13/2023 - About 3 years ago |
| Identifiers | n/a |
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