Organization
AVA HOSPICE CARE , LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICTORIA B. ELSAYGH REGISTERED NURSE (ADMINISTRATOR)
(909) 569-9271
Entity
Organization
Contact information
Practice address
400 N MOUNTAIN AVE, 220, UPLAND, CA 91786-5176
(909) 569-9271
(909) 396-5933
Mailing address
400 N MOUNTAIN AVE, 220, UPLAND, CA 91786-5176
(909) 569-9271
(909) 396-5933
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
IN PROCESS
CA
Other
Enumeration date
11/09/2007
Last updated
03/31/2008
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