Petra Healthcare INC
NPI #1376113100 in Buena Park, California
Provider Information
- NPI Number
- 1376113100
- Entity Type
- Organization
- Organization Name
- Petra Healthcare INC
- Primary Specialty
- Hospice Care, Community Based
- Enumeration Date
- Jun 24, 2021
- Last Updated
- Jun 29, 2021
Practice Location
- Address
- 6910 OSLO CIR STE 204
- City
- Buena Park
- State
- California
- ZIP Code
- 90621-3348
- Phone
- (714) 770-0152
Authorized Official
- Name
- MARCK ANTON S TAMAYO
- Title
- COMPLIANCE OFFICER
- Phone
- (714) 829-8903
Specialties & Taxonomy Codes
| Specialty |
|---|
| Hospice Care, Community Based |
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