Organization
SACRED HAVEN HOSPICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN MERICK ANNE DICHOSO REGISTERED NURSE (OWNER/CFO)
(909) 297-1489
Entity
Organization
Contact information
Practice address
400 N MOUNTAIN AVE STE 231, UPLAND, CA 91786-5191
(909) 297-1489
Mailing address
400 N MOUNTAIN AVE STE 231, UPLAND, CA 91786-5191
(909) 297-1489
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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