Provider Demographics
NPI:1952646820
Name:UNITED ALLIANCE HOSPICE CARE, INC.
Entity Type:Organization
Organization Name:UNITED ALLIANCE HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALVAMARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TABALON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-829-3982
Mailing Address - Street 1:566 W LANCASTER BLVD STE 19
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-2563
Mailing Address - Country:US
Mailing Address - Phone:661-579-6048
Mailing Address - Fax:661-200-7780
Practice Address - Street 1:566 W LANCASTER BLVD STE 19
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-2563
Practice Address - Country:US
Practice Address - Phone:661-579-6048
Practice Address - Fax:661-200-7780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-04
Last Update Date:2019-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based