Organization
A SPIRIT OF SUPPORT INC
Active
Organization
A SPIRIT OF SUPPORT INC
Active
Other names
Mt Olive Hospice and Palliative Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHERWIN TANGHAL CANALES (CEO)
(909) 305-1007
Entity
Organization
Contact information
Practice address
425 W BONITA AVE STE 209, SAN DIMAS, CA 91773-2542
(909) 305-1007
(909) 305-1001
Mailing address
425 W BONITA AVE STE 209, SAN DIMAS, CA 91773-2542
(909) 305-1007
(909) 305-1001
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
09/28/2012
Last updated
12/12/2019
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