Organization
DISTINCT HOSPICE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNYBETH R DIEGO RN (CHIEF EXECUTIVE OFFICER)
(909) 319-0635
Entity
Organization
Contact information
Practice address
6671 VIANZA PL, RANCHO CUCAMONGA, CA 91701-9024
(909) 319-0635
(909) 944-3878
Mailing address
6671 VIANZA PL, RANCHO CUCAMONGA, CA 91701-9024
(909) 319-0635
(909) 944-3878
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
06/16/2012
Last updated
06/16/2012
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