Provider Demographics
NPI:1457933301
Name:EDEN VALLEY HOSPICE & PALLIATIVE CARE, INC.
Entity Type:Organization
Organization Name:EDEN VALLEY HOSPICE & PALLIATIVE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MANMIT
Authorized Official - Middle Name:
Authorized Official - Last Name:ANAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-655-8682
Mailing Address - Street 1:350 W 9TH AVE STE 208A
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-5053
Mailing Address - Country:US
Mailing Address - Phone:626-655-8682
Mailing Address - Fax:626-655-8684
Practice Address - Street 1:350 W 9TH AVE STE 208A
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-5053
Practice Address - Country:US
Practice Address - Phone:626-655-8682
Practice Address - Fax:626-655-8684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-21
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based