Organization
CALSTRO HOSPICE HIGH DESERT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT DEVILLE (ADMINISTRATOR)
(760) 643-6250
Entity
Organization
Contact information
Practice address
14455 PARK AVE STE A, VICTORVILLE, CA 92392-2344
(760) 974-0025
(760) 553-9722
Mailing address
14455 PARK AVE STE A, VICTORVILLE, CA 92392-2344
(760) 974-0025
(760) 553-9722
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
11/11/2020
Last updated
11/03/2021
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