Organization
DIVINE HOSPICE CARE,LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN REPOLLO (CEO)
(909) 456-8897
Entity
Organization
Contact information
Practice address
3200 E GUASTI RD STE 100, ONTARIO, CA 91761-8661
(909) 456-8897
(909) 456-8810
Mailing address
3200 E GUASTI RD STE 100, ONTARIO, CA 91761-8661
(909) 456-8897
(909) 456-8810
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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