Organization Name: | WINGS OF HOPE HOSPICE, INC |
NPI Number: | 1215394226 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LILIBETH JOHNSON-MEE (ADMINISTRATOR/ PRESIDENT) |
Mailing Address: | 301 9th St Suite # 307 Redlands |
State: | CA US |
Postal Code: | 923744412 |
Phone Number: | 9092898890 |
Fax Number: | 9098910216 |
NPI Enumeration Date: | 01/21/2016 |
NPI Last Update Date: | 01/21/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |