Organization Name: | MISSION HOSPICE SERVICES OF RANCHO MIRAGE, INC. |
NPI Number: | 1063804763 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK KIMSEY (OWNER) |
Mailing Address: | 71847 Highway 111 Suite A Rancho Mirage |
State: | CA US |
Postal Code: | 922706406 |
Phone Number: | 7606105425 |
Fax Number: | |
NPI Enumeration Date: | 03/04/2015 |
NPI Last Update Date: | 03/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |