Organization
HOSPICE OF THE ANGELS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA P PRUDENCIO (ADMINISTRATOR)
(909) 624-3838
Entity
Organization
Contact information
Practice address
4959 PALO VERDE ST, STE 110B, MONTCLAIR, CA 91763-2350
(909) 624-3838
(909) 624-3844
Mailing address
4959 PALO VERDE ST, STE 110B, MONTCLAIR, CA 91763-2350
(909) 624-3838
(909) 624-3844
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
06/17/2011
Last updated
08/10/2015
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