Coventry Hospice
Hospice Care, Community Based in Montclair, CA. Organization (NPI-2).
NPI number1164034104
StatusActive
Last updated in NPPESAug 20, 2020
Details
- NPI
- 1164034104
- Entity type
- Organization (NPI-2)
- Legal business name
- Coventry Hospice
- Organization subpart
- No
- Enumeration date
- Aug 20, 2020
- Certification date
- Aug 20, 2020
- Last updated
- Aug 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251G00000X | Hospice Care, Community Based | – | – | Yes |
Practice location
5050 Palo Verde St Ste 123Montclair, CA 91763-2334
Phone 909-493-7758
Mailing address
5050 Palo Verde St Ste 123Montclair, CA 91763-2334
Authorized official
Kennedy Lamaria
President
9094937758
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