Organization
NOVA HOME HOSPICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOSTAFA S RAHIMI M.D. (PRESIDENT)
(760) 686-3121
Entity
Organization
Contact information
Practice address
1551 W 13TH ST, SUITE 104, UPLAND, CA 91786-2900
(909) 946-1213
Mailing address
1551 W 13TH ST, SUITE 104, UPLAND, CA 91786-2900
(909) 946-1213
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
A89780
CA
Other
Enumeration date
12/21/2010
Last updated
12/21/2010
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