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NPI 1134551898

NPI 1134551898 : STERLING HOSPICE CARE, INC. : COLTON, CA

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General NPI Number Information
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    NPI Number           |    1134551898
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    Entity Type          |    Organization 
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    Legal Business Name  |    STERLING HOSPICE CARE, INC. 
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Dates
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    Enumeration Date     |    08/05/2013
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    Last Update Date     |    10/16/2018
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Provider Practice Location Address
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    Address Line         |    1007 E COOLEY DR STE 109 
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    City                 |    COLTON
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    State                |    CA
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    Zip                  |    92324-3901
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    Country              |    US
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    Telephone            |    909-777-0004
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    Fax                  |    909-777-0113
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Provider Business Mailing Address
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    Address Line         |    1007 E COOLEY DR STE 109 
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    City                 |    COLTON
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    State                |    CA
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    Zip                  |    92324-3901
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    Country              |    US
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    Telephone            |    909-777-0004
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    Fax                  |    909-777-0113
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Authorized Official
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    Title or Position    |    CEO/ADMINISTRATOR
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    Name                 |    MRS. RALPH T. CANALES 
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    Credential           |    
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    Telephone            |    909-777-0004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251G00000X
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    Taxonomy Name        |    Community Based Hospice Care Agency
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    License Number       |    550002568
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    License Number State |    CA
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