Organization
SAN GABRIEL VALLEY COMMUNITY HOSPICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN REYES (CEO)
(626) 271-2514
Entity
Organization
Contact information
Practice address
855 N LARK ELLEN AVE STE R, WEST COVINA, CA 91791-1099
(626) 271-2514
Mailing address
855 N LARK ELLEN AVE STE R, WEST COVINA, CA 91791-1099
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
06/14/2021
Last updated
06/16/2021
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