| Organization Name: | INLAND EMPIRE HEALTHCARE, INC |
| NPI Number: | 1063706604 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANICETO BALITON (ADMINISTRATOR) |
| Mailing Address: | 6030 Riverside Dr Suite F Chino |
| State: | CA US |
| Postal Code: | 917104423 |
| Phone Number: | 9094641205 |
| Fax Number: | 9094641098 |
| NPI Enumeration Date: | 05/31/2011 |
| NPI Last Update Date: | 03/18/2012 |
| 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: | |