LIGHT OF LIFE HOSPICE CARE LLC NPI 1649607649

NPI Information

LIGHT OF LIFE HOSPICE CARE, LLC is a hospice care community based in Fontana, CA. LIGHT OF LIFE HOSPICE CARE, LLC NPI is 1649607649. The provider is registered as an organization entity type.

The provider's business location address is:

6101 CHERRY AVE
SUITE 205
FONTANA, CA
ZIP 92336-362
Phone: (818) 640-7684
Fax: (909) 463-7442

The provider's authorized official is Marlon G. Mallari .
The authorized official title is President and has the following contact phone number (818) 640-7985.

The CLIA number assigned to this NPI record is 05D2077460 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2013 and was last updated on 10/4/2013.

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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