Organization
HOSPICE OF HUMBOLDT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANNE KEATING VALLEE (DIRECTOR OF FINANCE)
(707) 445-8443
Entity
Organization
Contact information
Practice address
3327 TIMBER FALL CT, EUREKA, CA 95503-4894
(707) 445-8443
(707) 445-2209
Mailing address
3327 TIMBER FALL CT, EUREKA, CA 95503-4894
(707) 445-8443
(707) 445-2209
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
100000737
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HPC01536F
—
CA
Enumeration date
12/03/2015
Last updated
12/03/2015
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