Organization
BRENTON HOSPICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT MONG (PRESIDENT)
(909) 727-3707
Entity
Organization
Contact information
Practice address
8560 VINEYARD AVENUE, SUITE 410, RANCHO CUCAMONGA, CA 91730-4349
(909) 727-3707
(909) 727-3326
Mailing address
8560 VINEYARD AVENUE, SUITE 410, RANCHO CUCAMONGA, CA 91730-4349
(909) 727-3707
(909) 727-3326
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
550003871
CA
251G00000X
Community Based Hospice Care Agency
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Other
Enumeration date
08/17/2016
Last updated
06/21/2018
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