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General NPI Number Information
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NPI Number | 1326288028
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Entity Type | Organization
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Legal Business Name | SACRED HEART HOSPICE INC
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Dates
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Enumeration Date | 02/20/2009
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Last Update Date | 04/19/2023
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Provider Practice Location Address
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Address Line | 2025 CHICAGO AVE STE A30
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City | RIVERSIDE
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State | CA
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Zip | 92507-2314
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Country | US
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Telephone | 951-682-7022
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Fax | 951-682-7122
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Provider Business Mailing Address
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Address Line | 1935 CHICAGO AVE STE C
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City | RIVERSIDE
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State | CA
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Zip | 92507-2368
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Country | US
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Telephone | 951-682-7022
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Fax | 951-682-7122
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. MARCELLA D MURILLO
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Credential | RN
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Telephone | 951-681-7022
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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 | 550000479
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License Number State | CA
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