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Organization

IMMANUEL HOSPICE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL L. FOLKES (ADMINISTRATOR)
(909) 592-4834
Entity
Organization

Contact information

Practice address
482 W. ARROW HWY, SUITE G, SAN DIMAS, CA 91773-2960
(909) 592-4834
(909) 592-1708
Mailing address
482 W. ARROW HWY, SUITE G, SAN DIMAS, CA 91773-2960
(909) 592-4834
(909) 592-1708

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary

Other

Enumeration date
05/20/2009
Last updated
05/20/2009
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