Provider Demographics
NPI:1336585629
Name:HOME TOUCH HOSPICE AND PALLIATIVE CARE, INC
Entity Type:Organization
Organization Name:HOME TOUCH HOSPICE AND PALLIATIVE CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA CRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOTOC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-346-2700
Mailing Address - Street 1:8632 ARCHIBALD AVE STE 109
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-4665
Mailing Address - Country:US
Mailing Address - Phone:909-346-2700
Mailing Address - Fax:909-935-3855
Practice Address - Street 1:8632 ARCHIBALD AVE
Practice Address - Street 2:STE 109
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-4664
Practice Address - Country:US
Practice Address - Phone:909-346-2700
Practice Address - Fax:909-935-3855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-14
Last Update Date:2013-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based