Organization
LIVING WATERS HOSPICE CALIFORNIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY DENHAM (VICE PRESIDENT)
(951) 694-2099
Entity
Organization
Contact information
Practice address
6030 RIVERSIDE DR, SUITE F, CHINO, CA 91710-4423
(909) 315-8113
Mailing address
22300 VAN BUREN BLVD STE 102, RIVERSIDE, CA 92518-2707
(909) 315-8113
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
550001951
CA
Other
Enumeration date
01/19/2017
Last updated
07/25/2023
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