| Organization Name: | PATIENT CARE HOSPICE |
| NPI Number: | 1215391891 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELIZABETH WEBSTER DE LA ROSA (VICE PRESIDENT) |
| Mailing Address: | 6849 W Charleston Blvd Suite B Las Vegas |
| State: | NV US |
| Postal Code: | 891171649 |
| Phone Number: | 7027341501 |
| Fax Number: | 7027341502 |
| NPI Enumeration Date: | 04/08/2016 |
| NPI Last Update Date: | 04/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 7952HPC-0 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |