Provider Demographics
NPI:1205505393
Name:FRIENDLY HILLS HOSPICE INC
Entity type:Organization
Organization Name:FRIENDLY HILLS HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:
Authorized Official - First Name:JESSE
Authorized Official - Middle Name:
Authorized Official - Last Name:GARRIDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-536-6465
Mailing Address - Street 1:3120 S HACIENDA BLVD STE 203B
Mailing Address - Street 2:
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-6358
Mailing Address - Country:US
Mailing Address - Phone:323-616-4718
Mailing Address - Fax:
Practice Address - Street 1:3120 S HACIENDA BLVD STE 203B
Practice Address - Street 2:
Practice Address - City:HACIENDA HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91745-6358
Practice Address - Country:US
Practice Address - Phone:323-616-4718
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-10
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based