CCN: 921704 NPI: 1306271606 Organization

GABRIELLE HOSPICE AND PALLIATIVE

400 N MOUNTAIN AVE STE 123D
UPLAND, CA 917865176

Contact Information

Phone 9093039366
Fax 9093039370
Enumeration Date 2013-09-06
Last Updated 2023-07-28

Taxonomies

Code: 251G00000X (Primary) License State: CA License: 3594955

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 0

cbsaActualGeographicLocation 40140

providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 40140

providerType 35

specialPaymentIndicator

carrierCode 01112

localityCode 62