Organization Name: | REGENCY HOSPICE INC |
NPI Number: | 1902944929 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GILBERT RAY MERRILL (PRESIDENT) |
Mailing Address: | 12062 Valley View Street #125 Garden Grove |
State: | CA US |
Postal Code: | 92845 |
Phone Number: | 7148993398 |
Fax Number: | 7148993348 |
NPI Enumeration Date: | 02/02/2007 |
NPI Last Update Date: | 11/28/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |