| Organization Name: | DIVINE HOSPICE CARE, INC. |
| NPI Number: | 1659556942 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GEORGE C. DELA CRUZ (CHAIRMAN OF THE BOARD) |
| Mailing Address: | 6131 Orangethorpe Ave Suite 180 Buena Park |
| State: | CA US |
| Postal Code: | 906204911 |
| Phone Number: | 7145235030 |
| Fax Number: | 7145235060 |
| NPI Enumeration Date: | 01/04/2008 |
| NPI Last Update Date: | 07/29/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 550000234 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |