Provider Demographics
NPI:1659820595
Name:HOSPICE CARE LOGIC INC
Entity Type:Organization
Organization Name:HOSPICE CARE LOGIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LAGRIMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:HARO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:909-572-3125
Mailing Address - Street 1:22737 BARTON RD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:GRAND TERRACE
Mailing Address - State:CA
Mailing Address - Zip Code:92313-5262
Mailing Address - Country:US
Mailing Address - Phone:909-572-3125
Mailing Address - Fax:909-498-8552
Practice Address - Street 1:22737 BARTON RD
Practice Address - Street 2:SUITE 8
Practice Address - City:GRAND TERRACE
Practice Address - State:CA
Practice Address - Zip Code:92313-5262
Practice Address - Country:US
Practice Address - Phone:909-572-3125
Practice Address - Fax:909-498-8552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-03
Last Update Date:2016-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based