Organization Name: | VISTA HOSPICE CARE INC |
NPI Number: | 1245639616 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL KEHEIAN (CEO) |
Mailing Address: | 550 W Vista Way Suite 310 Vista |
State: | CA US |
Postal Code: | 920835717 |
Phone Number: | 7604076425 |
Fax Number: | 7604076426 |
NPI Enumeration Date: | 08/21/2014 |
NPI Last Update Date: | 09/23/2014 |
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: |