Organization Name: | AVON HOSPICE CARE, INC. |
NPI Number: | 1124365184 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LULU AQUINO (CEO) |
Mailing Address: | 7365 Carnelian St Suite 129 Rancho Cucamonga |
State: | CA US |
Postal Code: | 917301158 |
Phone Number: | 9098337579 |
Fax Number: | 9098337580 |
NPI Enumeration Date: | 01/10/2013 |
NPI Last Update Date: | 10/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 550002342 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |