Organization
HEAVENLY ANGEL HOSPICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANE SHAMIRYAN (CEO)
(909) 571-5949
Entity
Organization
Contact information
Practice address
202 E AIRPORT DR STE 158, SAN BERNARDINO, CA 92408-3428
(909) 571-5949
Mailing address
202 E AIRPORT DR STE 158, SAN BERNARDINO, CA 92408-3428
(909) 571-5949
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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