Organization
KENNEDY HOSPICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY ADEKAYODE (CEO/PRESIDENT)
(818) 691-7201
Entity
Organization
Contact information
Practice address
820 N MOUNTAIN AVE, SUITE #110, UPLAND, CA 91786-4163
(909) 587-6009
(909) 327-2929
Mailing address
820 N MOUNTAIN AVE, SUITE #110, UPLAND, CA 91786-4163
(909) 587-6009
(909) 327-2929
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
Primary
550002818
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
550002818
—
CA
Enumeration date
06/09/2014
Last updated
08/07/2015
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