Organization
LIGHTHOUSE HOSPICE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILIBETH SIOSON SAN GABRIEL RN (CFO)
(909) 989-8884
Entity
Organization
Contact information
Practice address
10535 FOOTHILL BLVD STE 408, RANCHO CUCAMONGA, CA 91730-3829
(909) 989-8884
(909) 989-8834
Mailing address
1763 JUNE LN, GLENDALE, CA 91208-2315
(909) 989-8884
(909) 989-8834
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932454360
NPI NUMBER
CA
Enumeration date
07/23/2012
Last updated
06/04/2013
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