Organization
COMMUNITY HOSPICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHARLOTTE DESHA MCLEOD (PRESIDENT/CEO)
(209) 578-6300
Entity
Organization
Contact information
Practice address
4368 SPYRES WAY, MODESTO, CA 95356-9256
(209) 578-6320
(209) 541-3280
Mailing address
4368 SPYRES WAY, MODESTO, CA 95356-9259
(209) 578-6300
(209) 541-3280
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8PCO543F
—
CA
05
—
HPC01543F
—
CA
Enumeration date
08/21/2006
Last updated
11/08/2016
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