| NPI | 1780139964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT MONG President 909-727-3707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: CA 550003871) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2018-06-21 |