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Ivy Hospice Care, INC.

Hospice Care, Community Based in Upland, CA. Organization (NPI-2).

NPI number1972909596
StatusActive
Last updated in NPPESAug 31, 2026

Details

NPI
1972909596
Entity type
Organization (NPI-2)
Legal business name
Ivy Hospice Care, INC.
Organization subpart
No
Enumeration date
Nov 10, 2014
Certification date
Aug 31, 2026
Last updated
Aug 31, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251G00000X Hospice Care, Community Based––Yes

Practice location

545 N Mountain Ave Ste 101
Upland, CA 91786-5054

Phone 909-931-5090 · Fax 909-931-5908

Mailing address

545 N Mountain Ave Ste 101
Upland, CA 91786-5054

Phone 909-931-5090 · Fax 909-931-5908

Authorized official

Joel Mangilit
President/Ceo & Administrator
9099315090

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