Organization Name: | PRIORITY ONE HOSPICE, INC. |
NPI Number: | 1720334626 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARIA CHONA CATUIRA (ADMINISTRATOR) |
Mailing Address: | 4959 Palo Verde St Ste 107c Montclair |
State: | CA US |
Postal Code: | 917632357 |
Phone Number: | 9096256377 |
Fax Number: | 9096257755 |
NPI Enumeration Date: | 07/28/2012 |
NPI Last Update Date: | 11/30/2012 |
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: |