Provider Demographics
NPI:1821278086
Name:MARCELLA MURILLO
Entity Type:Organization
Organization Name:MARCELLA MURILLO
Other - Org Name:SACRED HEART HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARCELLA
Authorized Official - Middle Name:D
Authorized Official - Last Name:MURILLO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:909-872-0646
Mailing Address - Street 1:1430 E COOLEY DR
Mailing Address - Street 2:SUITE 124
Mailing Address - City:COLTON
Mailing Address - State:CA
Mailing Address - Zip Code:92324-3934
Mailing Address - Country:US
Mailing Address - Phone:909-872-0646
Mailing Address - Fax:909-872-0606
Practice Address - Street 1:1430 E COOLEY DR
Practice Address - Street 2:SUITE 124
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324-3934
Practice Address - Country:US
Practice Address - Phone:909-872-0646
Practice Address - Fax:909-872-0606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-05
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based