Organization
COMMUNITY HOSPICE OF VICTOR VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHA FOX (PRESIDENT/CEO)
(909) 624-3574
Entity
Organization
Contact information
Practice address
16147 KAMANA RD, APPLE VALLEY, CA 92307-1377
(760) 946-4730
(760) 242-0566
Mailing address
16147 KAMANA RD, APPLE VALLEY, CA 92307-1377
(760) 946-4730
(760) 242-0566
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
080000721
CA
251G00000X
Community Based Hospice Care Agency
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HPC01708G
—
CA
Enumeration date
07/18/2005
Last updated
04/14/2016
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