Organization
FOUNTAIN OF LIFE HOSPICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARCHIBON LAMARIA (CEO)
(951) 267-7495
Entity
Organization
Contact information
Practice address
818 N MOUNTAIN AVE STE 203B, UPLAND, CA 91786-4165
(951) 267-7495
(951) 267-7689
Mailing address
818 N MOUNTAIN AVE STE 203B, UPLAND, CA 91786-4165
(951) 267-7495
(951) 267-7689
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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