| NPI | 1457772675 |
|---|---|
| Doing Business As | PROVIDENCE HOSPICE INLAND EMPIRE |
| Doing Business As | ST. MARY HIGH DESERT HOSPICE |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Assistant Secretary For Enrollment 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2023-03-23 |