Provider Demographics
NPI:1790355188
Name:WHITE DOVE HOSPICE AND PALLIATIVE CARE INC
Entity Type:Organization
Organization Name:WHITE DOVE HOSPICE AND PALLIATIVE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:DOLAR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:818-454-5723
Mailing Address - Street 1:1445 E LOS ANGELES AVE STE 301W
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-2862
Mailing Address - Country:US
Mailing Address - Phone:818-454-5723
Mailing Address - Fax:
Practice Address - Street 1:1445 E LOS ANGELES AVE STE 301W
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-2862
Practice Address - Country:US
Practice Address - Phone:818-454-5723
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-28
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based