Organization
CROWN VALLEY HOSPICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REN CHELSEA LOPEZ (CEO)
(909) 551-1838
Entity
Organization
Contact information
Practice address
22600 LAMBERT ST STE 1002, LAKE FOREST, CA 92630-1622
(909) 551-1838
Mailing address
21545 VINTAGE WAY, LAKE FOREST, CA 92630-5758
(909) 551-1838
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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