Organization
HEAVENLY CARE HOSPICE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS FREDA JOY VASQUEZ PRIMICIAS (VICE PRESIDENT/TREASURER)
(909) 626-4242
Entity
Organization
Contact information
Practice address
4959 PALO VERDE ST STE 106C, MONTCLAIR, CA 91763-2331
(909) 626-4242
(909) 626-4545
Mailing address
4959 PALO VERDE ST STE 106C, MONTCLAIR, CA 91763-2331
(909) 626-4242
(909) 626-4545
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
07/26/2006
Last updated
08/22/2020
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