Organization
ANTHEM HOSPICE PROVIDERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE C NGUYEN (CEO)
(626) 422-7932
Entity
Organization
Contact information
Practice address
876 N MOUNTAIN AVE STE 200V, UPLAND, CA 91786-4166
(626) 422-7932
(909) 357-3180
Mailing address
876 N MOUNTAIN AVE STE 200V, UPLAND, CA 91786-4166
(626) 422-7932
(909) 357-3180
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C3594214
CORPORATION
CA
Enumeration date
08/14/2013
Last updated
08/14/2013
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