| Organization Name: | DIVINE MERCY HOSPICE, INC |
| NPI Number: | 1902003767 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MERCEDITHAS HIPOLITO LIWANAG (PRESIDENT/CEO) |
| Mailing Address: | 5589 Brooks St Unit B Montclair |
| State: | CA US |
| Postal Code: | 917634519 |
| Phone Number: | 9099866715 |
| Fax Number: | 9099866793 |
| NPI Enumeration Date: | 06/27/2007 |
| NPI Last Update Date: | 06/04/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 550000483 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |