Organization
COVENTRY HOSPICE
Active
Organization
COVENTRY HOSPICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNEDY LAMARIA (PRESIDENT)
(909) 493-7758
Entity
Organization
Contact information
Practice address
5050 PALO VERDE ST STE 123, MONTCLAIR, CA 91763-2334
(909) 493-7758
Mailing address
5050 PALO VERDE ST STE 123, MONTCLAIR, CA 91763-2334
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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