Organization Name: | ST. CHRISTOPHER HOSPICE, INC. |
NPI Number: | 1003013178 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DON ARTHUR PEDRIQUE ESTUITA (PRESIDENT) |
Mailing Address: | 399 E Highland Ave Suite 116 San Bernardino |
State: | CA US |
Postal Code: | 924043808 |
Phone Number: | 9094755888 |
Fax Number: | |
NPI Enumeration Date: | 06/30/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |