Organization
ARCHIBALD HOSPICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENE YBARDOLAZA JR. (PRESIDENT)
(909) 732-5732
Entity
Organization
Contact information
Practice address
9221 ARCHIBALD AVE, RANCHO CUCAMONGA, CA 91730-5207
(909) 732-5732
Mailing address
9221 ARCHIBALD AVE, RANCHO CUCAMONGA, CA 91730-5207
(909) 732-5732
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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