Organization
HAZEL HAWKINS MEMORIAL HOSPITAL
Active
Other names
SAN BENITO HOME HEALTH CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY CASILLAS RN (ADMINISTRATOR)
(831) 638-2604
Entity
Organization
Contact information
Practice address
911 SUNSET DR, HOLLISTER, CA 95023-5606
(831) 638-1111
(831) 638-1728
Mailing address
911 SUNSET DR, HOLLISTER, CA 95023-5606
(831) 638-1111
(831) 636-2613
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
070000401
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA57664F
—
CA
Enumeration date
10/10/2006
Last updated
01/11/2024
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