Organization
AR GOOD SHEPHERD HOSPICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANGELITO REYES (CEO)
(909) 660-8228
Entity
Organization
Contact information
Practice address
222 N MOUNTAIN AVE STE 211, UPLAND, CA 91786-5714
(909) 660-8228
Mailing address
222 N MOUNTAIN AVE STE 211, UPLAND, CA 91786-5714
(909) 660-8228
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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