Organization
ST. JOSEPH HEALTH SYSTEM HOME CARE SERVICES LLC
Active
Other names
PROVIDENCE HOSPICE INLAND EMPIRE, St. Mary High Desert Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY FOR ENROLLMENT)
(425) 358-9786
Entity
Organization
Contact information
Practice address
8560 VINEYARD AVE STE 516, RANCHO CUCAMONGA, CA 91730-4350
(909) 728-2801
(909) 292-4512
Mailing address
8560 VINEYARD AVE STE 516, RANCHO CUCAMONGA, CA 91730-4350
(909) 728-2801
(909) 292-4512
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
12/16/2013
Last updated
05/16/2025
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