Provider Demographics
NPI:1063881951
Name:WESTERN HORIZON HOSPICE AND PALLIATIVE CARE, INC.
Entity type:Organization
Organization Name:WESTERN HORIZON 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 RINA JUNVEE
Authorized Official - Middle Name:ANGELES
Authorized Official - Last Name:BOIDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-611-4677
Mailing Address - Street 1:23591 EL TORO RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-4774
Mailing Address - Country:US
Mailing Address - Phone:855-611-4677
Mailing Address - Fax:949-716-6577
Practice Address - Street 1:23591 EL TORO RD
Practice Address - Street 2:SUITE 200
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630-4774
Practice Address - Country:US
Practice Address - Phone:855-611-4677
Practice Address - Fax:949-716-6577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-21
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based