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Organization

DIRECT PROVIDER OF HOSPICE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SYLVIE BOAL (COMPLIANCE)
(513) 930-0209
Entity
Organization

Contact information

Practice address
487 CORONA MALL, CORONA, CA 92879-1419
(951) 393-0020
(951) 393-0958
Mailing address
487 CORONA MALL, CORONA, CA 92879-1419
(951) 393-0020
(951) 393-0958

Taxonomy

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

Other

Enumeration date
02/15/2016
Last updated
10/08/2024
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