| Organization Name: | PROCARE HOSPICE CORPORATION |
| NPI Number: | 1013937028 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERTA TERL WALSKI (CEO) |
| Mailing Address: | 10200 Sepulveda Boulevard Suite 145 Mission Hills |
| State: | CA US |
| Postal Code: | 913453327 |
| Phone Number: | 8188958000 |
| Fax Number: | 8188946565 |
| NPI Enumeration Date: | 07/20/2006 |
| NPI Last Update Date: | 03/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 980001391 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |