| Organization Name: | HEARTLAND HOSPICE-WEST COVINA |
| NPI Number: | 1538285937 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DOVIRN DOTSON (ACCOUNTS RECEIVABLE SUPERVISOR) |
| Mailing Address: | 1000 Lakes Dr Suite 225 West Covina |
| State: | CA US |
| Postal Code: | 917902900 |
| Phone Number: | 6269181207 |
| Fax Number: | 6269184918 |
| NPI Enumeration Date: | 03/21/2007 |
| 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: | |