Organization
LONG LIFE HOSPICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROWIE QUINCENA JUCAL RN (CEO)
(909) 681-6180
Entity
Organization
Contact information
Practice address
4959 PALO VERDE ST STE 206A-4, MONTCLAIR, CA 91763-2342
(909) 681-6180
(909) 614-8628
Mailing address
4959 PALO VERDE ST STE 206A-4, MONTCLAIR, CA 91763-2342
(909) 681-6180
(909) 614-8628
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
03/05/2021
Last updated
05/22/2023
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