Provider Demographics
NPI:1568721918
Name:ANTELOPE HOSPICE CORPORATION
Entity Type:Organization
Organization Name:ANTELOPE HOSPICE CORPORATION
Other - Org Name:ALDEN HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:FROYLA
Authorized Official - Middle Name:D
Authorized Official - Last Name:ALDEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MN
Authorized Official - Phone:661-272-0001
Mailing Address - Street 1:1061 W AVENUE M14
Mailing Address - Street 2:SUITE 'D'
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93551-1430
Mailing Address - Country:US
Mailing Address - Phone:661-272-0001
Mailing Address - Fax:661-272-0003
Practice Address - Street 1:1061 W AVENUE M14
Practice Address - Street 2:SUITE 'D'
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93551-1430
Practice Address - Country:US
Practice Address - Phone:661-272-0001
Practice Address - Fax:661-272-0003
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANTELOPE HOSPICE CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-05-04
Last Update Date:2012-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based