Organization
EAGLES WINGS HOSPICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JANE DE LA CRUZ (OWNER)
(702) 929-0021
Entity
Organization
Contact information
Practice address
255 N. D STREET, SUITE 200-XIX, SAN BERNARDINO, CA 92401
(909) 966-4053
(909) 966-4052
Mailing address
255 N. D STREET, SUITE 200-XIX, SAN BERNARDINO, CA 92401
(909) 966-4053
(909) 966-4052
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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