Organization
AZURE HEALTH GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOVE GABRIELLE DE JESUS (CEO/ADMINISTRATOR)
(909) 996-6879
Entity
Organization
Contact information
Practice address
222 N MOUNTAIN AVE, SUITE 106, UPLAND, CA 91786-5714
(909) 906-1888
Mailing address
222 N MOUNTAIN AVE, SUITE 106, UPLAND, CA 91786-5714
(909) 906-1888
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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