Organization Name: | AFFECTIVE HOSPICE CARE, INC. |
NPI Number: | 1548645302 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JUSTIN IVAN FELIPE (CEO/OWNER) |
Mailing Address: | 5050 Palo Verde St Suite 208 Montclair |
State: | CA US |
Postal Code: | 917632329 |
Phone Number: | 9099627488 |
Fax Number: | 9099627322 |
NPI Enumeration Date: | 07/22/2015 |
NPI Last Update Date: | 07/22/2015 |
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: |