Organization
LIGHT OF LIFE HOSPICE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARLON G. MALLARI LVN (PRESIDENT)
(818) 640-7985
Entity
Organization
Contact information
Practice address
6101 CHERRY AVE, SUITE 205, FONTANA, CA 92336-5362
(818) 640-7684
(909) 463-7442
Mailing address
6101 CHERRY AVE, SUITE 205, FONTANA, CA 92336-5362
(818) 640-7684
(909) 463-7442
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
10/04/2013
Last updated
10/04/2013
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