Organization
ADDA HOSPICE PROVIDERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS D KATIGBAK (CEO)
(909) 367-2561
Entity
Organization
Contact information
Practice address
876 N MOUNTAIN AVE STE 200F, UPLAND, CA 91786-4166
(909) 367-2561
(909) 367-2563
Mailing address
876 N MOUNTAIN AVE STE 200F, UPLAND, CA 91786-4166
(909) 367-2561
(909) 367-2563
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C3595378
CORPORATION NUMBER
CA
Enumeration date
08/22/2013
Last updated
08/22/2013
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