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Organization

BRIGHT SKY HOSPICE CARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ABRAHAM GATOT ISPRASETYO (PRESIDENT)
(909) 335-1818
Entity
Organization

Contact information

Practice address
502 CAJON ST, REDLANDS, CA 92373-5904
(818) 433-1696
(909) 335-2727
Mailing address
502 CAJON ST, REDLANDS, CA 92373-5904
(818) 433-1696
(909) 335-2727

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary

Other

Enumeration date
12/12/2012
Last updated
11/20/2023
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