Organization
PROVIDENCE HOSPICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEATRIZ GABRIELLE (ADMINISTRATOR)
(909) 739-3605
Entity
Organization
Contact information
Practice address
831 N HIGHLAND SPRINGS AVE STE 303D, BEAUMONT, CA 92223-5769
(909) 326-6010
(909) 326-6011
Mailing address
831 N HIGHLAND SPRINGS AVE STE 303D, BEAUMONT, CA 92223-5769
(909) 326-6010
(909) 326-6011
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
C3926029
CA
Other
Enumeration date
09/12/2016
Last updated
06/28/2024
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