Organization
DIVINE MERCY HOSPICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MERCEDITHAS HIPOLITO LIWANAG REGISTERED NURSE (PRESIDENT/CEO)
(909) 986-6715
Entity
Organization
Contact information
Practice address
5589 BROOKS ST, UNIT B, MONTCLAIR, CA 91763-4519
(909) 986-6715
(909) 986-6793
Mailing address
5589 BROOKS ST, UNIT B, MONTCLAIR, CA 91763-4519
(909) 986-6715
(909) 986-6793
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
550000483
CA
Other
Enumeration date
06/27/2007
Last updated
06/04/2010
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