Provider Demographics
NPI:1255761508
Name:MONZONES HOSPICE CARE, LLC
Entity type:Organization
Organization Name:MONZONES HOSPICE CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HANALEE
Authorized Official - Middle Name:
Authorized Official - Last Name:ABITRIA
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:909-660-9314
Mailing Address - Street 1:4959 PALO VERDE ST STE 200A
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:CA
Mailing Address - Zip Code:91763-2339
Mailing Address - Country:US
Mailing Address - Phone:909-624-5146
Mailing Address - Fax:909-624-0320
Practice Address - Street 1:4959 PALO VERDE ST STE 200A
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:CA
Practice Address - Zip Code:91763-2339
Practice Address - Country:US
Practice Address - Phone:909-624-5146
Practice Address - Fax:909-624-0320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-23
Last Update Date:2017-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based