Provider Demographics
NPI:1790393304
Name:SNL HOSPICE, INC.
Entity Type:Organization
Organization Name:SNL HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:ARNEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TEJONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-233-2148
Mailing Address - Street 1:201 N BRAND BLVD STE 237
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-3588
Mailing Address - Country:US
Mailing Address - Phone:888-552-1808
Mailing Address - Fax:888-998-6988
Practice Address - Street 1:201 N BRAND BLVD STE 237
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-3588
Practice Address - Country:US
Practice Address - Phone:818-296-9224
Practice Address - Fax:818-296-9384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-20
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based