Organization Name: | OPTIMAL HOSPICE CARE INC. |
NPI Number: | 1164649299 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DOUG CLARY (CEO) |
Mailing Address: | 3200 E 19th St Signal Hill |
State: | CA US |
Postal Code: | 907551244 |
Phone Number: | 8772202480 |
Fax Number: | 8772202481 |
NPI Enumeration Date: | 04/19/2007 |
NPI Last Update Date: | 08/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 201618 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |