| Organization Name: | PROCARE HOSPICE CORP |
| NPI Number: | 1851310874 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERTA TERI WALSKI (CEO) |
| Mailing Address: | 1700 Lombard St 2nd Floor Oxnard |
| State: | CA US |
| Postal Code: | 930308211 |
| Phone Number: | 8059834708 |
| Fax Number: | 8059831578 |
| NPI Enumeration Date: | 07/19/2006 |
| NPI Last Update Date: | 03/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 070000580 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |