Organization
THUNDERBIRD HOSPICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANIL D MALL (ADMINISTRATOR)
(909) 763-3352
Entity
Organization
Contact information
Practice address
1264 S WATERMAN AVE STE 36, SAN BERNARDINO, CA 92408-2849
(909) 763-3352
(909) 763-3538
Mailing address
1264 S WATERMAN AVE STE 36, SAN BERNARDINO, CA 92408-2849
(909) 763-3352
(909) 763-3538
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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