Organization
ROSEDOVE INC
Active
Other names
Serenity Hospice Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SIMRETH GILL RN (DIRECTOR OF PATIENT CARE SERVICES)
(800) 919-6419
Entity
Organization
Contact information
Practice address
1420 N CLAREMONT BLVD STE 104A, CLAREMONT, CA 91711-3583
(909) 624-0100
(909) 624-0606
Mailing address
1420 N CLAREMONT BLVD STE 104A, CLAREMONT, CA 91711-3583
(909) 624-0100
(909) 624-0606
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HPC01765F
MEDI-CAL PROVIDER ID#
CA
Enumeration date
11/15/2005
Last updated
09/19/2024
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