Organization Name: | PROCARE HOSPICE SERVICES, INC. |
NPI Number: | 1386911576 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NAOMI STA.MARIA (CEO) |
Mailing Address: | 20832 Roscoe Blvd Ste 214 Canoga Park |
State: | CA US |
Postal Code: | 913062057 |
Phone Number: | 8188856104 |
Fax Number: | 8188852659 |
NPI Enumeration Date: | 11/16/2011 |
NPI Last Update Date: | 11/16/2011 |
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: |