AVEEVA HOSPICE NPI 1124575618

NPI Information

AVEEVA HOSPICE is a hospice care community based in Riverside, CA. AVEEVA HOSPICE NPI is 1124575618. The provider is registered as an organization entity type.

The provider's business location address is:

11860 MAGNOLIA AVE
SUITE I
RIVERSIDE, CA
ZIP 92503-911
Phone: (951) 394-7500
Fax: (951) 394-7501

The provider's authorized official is Jon H Estanislao .
The authorized official title is Administrator and has the following contact phone number (951) 394-7500.

The CLIA number assigned to this NPI record is 05D2128369 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/1/2016 and was last updated on 9/1/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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