| Organization Name: | ROSE DOVE |
| NPI Number: | 1972585180 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SIMRETH GILL (DIRECTOR OF PATIENT CARE SERVICES) |
| Mailing Address: | 1420 N Claremont Blvd 101a Claremont |
| State: | CA US |
| Postal Code: | 91711 |
| Phone Number: | 9096240100 |
| Fax Number: | 9096240606 |
| NPI Enumeration Date: | 11/15/2005 |
| NPI Last Update Date: | 01/17/2012 |
| 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: | |