Provider Demographics
NPI:1386985265
Name:SAINT VERENA HOSPICE CARE, INC.
Entity type:Organization
Organization Name:SAINT VERENA HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:REMON
Authorized Official - Middle Name:N
Authorized Official - Last Name:WAHBA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-528-8856
Mailing Address - Street 1:500 S KRAEMER BLVD
Mailing Address - Street 2:SUITE# 150
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-6728
Mailing Address - Country:US
Mailing Address - Phone:714-528-8856
Mailing Address - Fax:
Practice Address - Street 1:500 S KRAEMER BLVD
Practice Address - Street 2:SUITE# 150
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-6728
Practice Address - Country:US
Practice Address - Phone:714-528-8856
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-03
Last Update Date:2013-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based