Organization Name: | VITAS HEALTHCARE CORPORATION CALIFORNIA |
NPI Number: | 1043353196 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEIRDRE LAWE (EXECUTIVE VICE PRESIDENT) |
Mailing Address: | 3700 Lakeville Hwy Suite 205 Petaluma |
State: | CA US |
Postal Code: | 949545671 |
Phone Number: | 7077872200 |
Fax Number: | 7077872250 |
NPI Enumeration Date: | 02/15/2007 |
NPI Last Update Date: | 07/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 100000781 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |