Provider Demographics
NPI:1891399259
Name:JEREMIAH HOSPICE AND PALLIATIVE CARE INC
Entity Type:Organization
Organization Name:JEREMIAH HOSPICE AND PALLIATIVE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AILEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GALON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-508-8387
Mailing Address - Street 1:12235 BEACH BLVD STE 207D
Mailing Address - Street 2:
Mailing Address - City:STANTON
Mailing Address - State:CA
Mailing Address - Zip Code:90680-3900
Mailing Address - Country:US
Mailing Address - Phone:657-577-9350
Mailing Address - Fax:
Practice Address - Street 1:12235 BEACH BLVD STE 207D
Practice Address - Street 2:
Practice Address - City:STANTON
Practice Address - State:CA
Practice Address - Zip Code:90680-3900
Practice Address - Country:US
Practice Address - Phone:657-577-9350
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-25
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based