Organization
HAIVEN HOSPICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MA JENNELA Y GABRADILLA (ADMINISTRATOR)
(818) 531-6913
Entity
Organization
Contact information
Practice address
1255 W COLTON AVE STE 564, REDLANDS, CA 92374-2861
(818) 531-6913
Mailing address
1255 W COLTON AVE STE 564, REDLANDS, CA 92374-2861
(818) 531-6913
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
CA
251G00000X
Community Based Hospice Care Agency
Primary
—
CA
Other
Enumeration date
12/02/2017
Last updated
12/02/2017
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