Organization
OPULENCE HOSPICE CARE,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOU MIZELLE DELACRUZ TANWANGCO PHYSICIAN ASSISTANT (SECRETARY)
(951) 486-9179
Entity
Organization
Contact information
Practice address
12085 HEACOCK ST, MORENO VALLEY, CA 92557-7102
(951) 486-9179
(951) 486-9529
Mailing address
12085 HEACOCK ST, MORENO VALLEY, CA 92557-7102
(951) 486-9179
(951) 486-9529
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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