Organization
ADVANCE HOSPICE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILDRED C NAVARRO (ADMINISTRATOR)
(909) 466-1000
Entity
Organization
Contact information
Practice address
3602 INLAND EMPIRE BLVD STE A-238, ONTARIO, CA 91764-4900
(909) 466-1000
(909) 466-1010
Mailing address
3602 INLAND EMPIRE BLVD STE A-238, ONTARIO, CA 91764-4900
(909) 466-1000
(909) 466-1010
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C3659689
CORPORATION NUMBER
CA
Enumeration date
04/14/2014
Last updated
11/02/2021
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