Organization
DIVINE CARE HOSPICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAARNI DIZON (PRESIDENT)
(951) 222-0300
Entity
Organization
Contact information
Practice address
7177 BROCKTON AVE STE 224, RIVERSIDE, CA 92506-2633
(951) 222-0300
Mailing address
7177 BROCKTON AVE STE 224, RIVERSIDE, CA 92506-2633
(951) 222-0300
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
1231574
CA
Other
Enumeration date
09/11/2013
Last updated
03/03/2014
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