Organization
CHARTER HEALTHCARE OF RANCHO CUCAMONGA, LLC
Active
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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