Organization
DEBONAIRE HOSPICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIOVANNI IBALE (CEO)
(909) 654-6566
Entity
Organization
Contact information
Practice address
12139 MOUNT VERNON AVE, STE 202, GRAND TERRACE, CA 92313-5562
(909) 654-6566
(877) 490-9508
Mailing address
12139 MOUNT VERNON AVE, STE 202, GRAND TERRACE, CA 92313-5562
(909) 654-6566
(877) 490-9508
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
07/02/2015
Last updated
10/01/2016
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