Provider Demographics
NPI:1407158462
Name:ALA HOSPICE CARE, INCORPORATED
Entity Type:Organization
Organization Name:ALA HOSPICE CARE, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTACT PERSON
Authorized Official - Prefix:
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CORDERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-389-2130
Mailing Address - Street 1:817 W BEVERLY BLVD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:MONTEBELLO
Mailing Address - State:CA
Mailing Address - Zip Code:90640-4251
Mailing Address - Country:US
Mailing Address - Phone:818-389-2130
Mailing Address - Fax:
Practice Address - Street 1:817 W BEVERLY BLVD
Practice Address - Street 2:SUITE 206
Practice Address - City:MONTEBELLO
Practice Address - State:CA
Practice Address - Zip Code:90640-4251
Practice Address - Country:US
Practice Address - Phone:818-389-2130
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-24
Last Update Date:2010-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based