| Organization Name: | PACIFIC HOME CARE ASSOCIATES, INC. |
| NPI Number: | 1124112784 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONALD A FREEMAN (PRESIDENT) |
| Mailing Address: | 455 S 4th St Suite 3 Coos Bay |
| State: | OR US |
| Postal Code: | 974201546 |
| Phone Number: | 5412667005 |
| Fax Number: | 5412667008 |
| NPI Enumeration Date: | 10/03/2006 |
| NPI Last Update Date: | 06/29/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |