Organization
PROVISION CARE HOSPICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALBERT MUSNGI JR. (ADMIN DIRECTOR DESIGNEE)
(949) 353-9083
Entity
Organization
Contact information
Practice address
876 N MOUNTAIN AVE STE 200O, UPLAND, CA 91786-4166
(949) 353-9083
Mailing address
876 N MOUNTAIN AVE STE 200O, UPLAND, CA 91786-4166
(949) 353-9083
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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