Organization
ALLY HOSPICE CORPORATION
Active
Other names
Ally Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MARITES GONZALES (CEO)
(909) 891-0900
Entity
Organization
Contact information
Practice address
202 E AIRPORT DR STE 240, SAN BERNARDINO, CA 92408-3440
(909) 891-0900
Mailing address
9621 SPRINGBROOK COURT, RANCHO CUCAMONGA, CA 91730
(909) 644-7649
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
CA
Other
Enumeration date
07/27/2017
Last updated
07/27/2017
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