Immanuel Hospice, Inc.
NPI #1669607651 in San Dimas, California
Provider Information
- NPI Number
- 1669607651
- Entity Type
- Organization
- Organization Name
- Immanuel Hospice, Inc.
- Primary Specialty
- Hospice Care, Community Based
- Enumeration Date
- May 20, 2009
- Last Updated
- May 20, 2009
Practice Location
- Address
- 482 W. ARROW HWY
- Address 2
- SUITE G
- City
- San Dimas
- State
- California
- ZIP Code
- 91773-2960
- Phone
- (909) 592-4834
Authorized Official
- Name
- MICHAEL L. FOLKES
- Title
- ADMINISTRATOR
- Phone
- (909) 592-4834
Specialties & Taxonomy Codes
| Specialty |
|---|
| Hospice Care, Community Based |
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