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NPI Code Detail

MEDICARE: ALORIA HEALTHCARE

MEDICARE: ALORIA HEALTHCARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251G00000XCommunity Based Hospice Care Agency

General Provider Information

NPI Number : 1225581366
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALORIA HEALTHCARE
Provider Business Mailing Address
First Line : 5050 PALO VERDE ST STE 120
Second Line :
City : MONTCLAIR
State : CA
Zip : 91763-2333
Country : US
Telephone Number : 909-398-0156
Fax Number : 909-398-0332
Provider Business Practice Location Address
First Line : 5050 PALO VERDE ST STE 120
Second Line :
City : MONTCLAIR
State : CA
Zip : 91763-2333
Country : US
Telephone Number : 909-398-0156
Fax Number : 909-398-0332
Authorized Official
Title or Position : ADMINISTRATOR DESIGNEE
Name : GREGORY PATACSIL
Credential :
Telephone Number : 909-398-0156
Provider Enumeration Date : 07/25/2016
Last Update Date : 07/26/2016

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Directions to “ALORIA HEALTHCARE ” Practice Location

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