Organization
WALLA WALLA COMMUNITY HOSPICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA L HENDRICKS (EXECUTIVE DIRECTOR)
(509) 525-5561
Entity
Organization
Contact information
Practice address
1067 E ISAACS AVE, WALLA WALLA, WA 99362-2040
(509) 525-5561
(509) 525-3517
Mailing address
PO BOX 2026, WALLA WALLA, WA 99362-0948
(509) 525-5561
(509) 525-3517
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
IS-469
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132121
—
OR
05
—
3990132
—
WA
Enumeration date
06/09/2005
Last updated
08/22/2020
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