Provider Demographics
NPI:1982043733
Name:A'S HOSPICE
Entity Type:Organization
Organization Name:A'S HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:EDNA
Authorized Official - Middle Name:MALLARI
Authorized Official - Last Name:VITUG
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:909-465-9002
Mailing Address - Street 1:14125 TELEPHONE AVE
Mailing Address - Street 2:SUITE 13
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-5769
Mailing Address - Country:US
Mailing Address - Phone:909-465-9002
Mailing Address - Fax:909-465-9032
Practice Address - Street 1:14125 TELEPHONE AVE
Practice Address - Street 2:SUITE 13
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-5769
Practice Address - Country:US
Practice Address - Phone:909-465-9002
Practice Address - Fax:909-465-9032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-14
Last Update Date:2013-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based