Organization
PATIENT CARE HOSPICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MORENO PROBADORA DE LA ROSA JR. (PRES/CEO)
(909) 624-3818
Entity
Organization
Contact information
Practice address
4959 PALO VERDE ST, 206C-6, MONTCLAIR, CA 91763-2331
(909) 624-3818
(909) 398-4359
Mailing address
4959 PALO VERDE ST, 206C-6, MONTCLAIR, CA 91763-2331
(909) 624-3818
(909) 398-4359
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
01/01/2008
Last updated
01/01/2008
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