| Organization Name: | AVA HOSPICE CARE , LP |
| NPI Number: | 1811177520 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VICTORIA B. ELSAYGH (ADMINISTRATOR) |
| Mailing Address: | 400 N Mountain Ave 220 Upland |
| State: | CA US |
| Postal Code: | 917865176 |
| Phone Number: | 9095699271 |
| Fax Number: | 9093965933 |
| NPI Enumeration Date: | 11/09/2007 |
| NPI Last Update Date: | 03/31/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | IN PROCESS |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |