Organization
PREMIER CARE HOSPICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FERNANDO AMADO CLENISTA (CEO)
(562) 221-3781
Entity
Organization
Contact information
Practice address
600 N MOUNTAIN AVE STE C205D, UPLAND, CA 91786-4315
(562) 221-3781
Mailing address
600 N MOUNTAIN AVE STE C205D, UPLAND, CA 91786-4315
(562) 221-3781
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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