| Organization Name: | DELTA HOSPICE OF INLAND VALLEY, INC |
| NPI Number: | 1003189465 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VIVIAN OBIAMALU (CEO/COO) |
| Mailing Address: | 41593 Winchester Rd Suite 215 Temecula |
| State: | CA US |
| Postal Code: | 925904860 |
| Phone Number: | 8558833572 |
| Fax Number: | 9092660334 |
| NPI Enumeration Date: | 02/16/2012 |
| NPI Last Update Date: | 02/16/2012 |
| 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: | |