Organization Name: | SANTA YEKATERINA HOSPICE, INC. |
NPI Number: | 1811200553 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANTES VALENZUELA (CEO/PRESIDENT) |
Mailing Address: | 5958 Vineland Ave. Suite J North Hollywood |
State: | CA US |
Postal Code: | 916011329 |
Phone Number: | 8186238888 |
Fax Number: | 8186230808 |
NPI Enumeration Date: | 07/22/2010 |
NPI Last Update Date: | 12/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |