Organization
GENTLE HALOES HOSPICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANTE BAUTISTA (CEO/OWNER)
(909) 641-3016
Entity
Organization
Contact information
Practice address
871 CORONADO CENTER DR STE 200-228A, HENDERSON, NV 89052-3977
(909) 641-3016
Mailing address
871 CORONADO CENTER DR STE 200-228A, HENDERSON, NV 89052-3977
(909) 641-3016
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
08/06/2021
Last updated
08/06/2021
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