Provider Demographics
NPI:1205355682
Name:AZURE HOSPICE CARE INC
Entity Type:Organization
Organization Name:AZURE HOSPICE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:GALBRAITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-591-5005
Mailing Address - Street 1:12391 LEWIS ST STE 202
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92840-4668
Mailing Address - Country:US
Mailing Address - Phone:714-591-5005
Mailing Address - Fax:714-591-5028
Practice Address - Street 1:12391 LEWIS ST STE 202
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92840-4668
Practice Address - Country:US
Practice Address - Phone:714-591-5005
Practice Address - Fax:714-591-5028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based