Provider Demographics
NPI:1225581366
Name:ALORIA HEALTHCARE
Entity Type:Organization
Organization Name:ALORIA HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR DESIGNEE
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:PATACSIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-398-0156
Mailing Address - Street 1:5050 PALO VERDE ST STE 120
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:CA
Mailing Address - Zip Code:91763-2333
Mailing Address - Country:US
Mailing Address - Phone:909-398-0156
Mailing Address - Fax:909-398-0332
Practice Address - Street 1:5050 PALO VERDE ST STE 120
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:CA
Practice Address - Zip Code:91763-2333
Practice Address - Country:US
Practice Address - Phone:909-398-0156
Practice Address - Fax:909-398-0332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-25
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based