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Organization

BRISTOL HOSPICE - INLAND EMPIRE, LLC

Active
Other names
Bristol Hospice - Inland Empire, Destiny Hospice of Temecula, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALEX MAURICIO (PRESIDENT CEO)
(801) 325-0175
Entity
Organization

Contact information

Practice address
6296 RIVER CREST DR STE L, RIVERSIDE, CA 92507-0738
(951) 308-6000
(951) 308-6009
Mailing address
206 N 2100 W STE 202, SALT LAKE CITY, UT 84116-4741
(801) 325-0175

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
3820480
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1043683170
CA
Enumeration date
11/11/2015
Last updated
09/24/2025
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