Organization
CHARTER HEALTHCARE OF RANCHO CUCAMONGA, LLC
Active
Other names
Cambridge Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIE BOAL ESQ (ATTORNEY)
(866) 669-1686
Entity
Organization
Contact information
Practice address
9229 UTICA AVE., SUITE 100, RANCHO CUCAMONGA, CA 91730-4063
(866) 669-1686
(909) 532-8685
Mailing address
9229 UTICA AVE., SUITE 100, RANCHO CUCAMONGA, CA 91730-4063
(866) 669-1686
(909) 532-8685
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550001908
DEPARTMENT OF PUBLIC HEALTH
CA
Enumeration date
11/03/2011
Last updated
09/20/2021
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