Organization
PACIFIC GARDENS MEDICAL CENTER, LLC
Active
Organization
PACIFIC GARDENS MEDICAL CENTER, LLC
Active
Parent organization
PACIFIC GARDENS MEDICAL CENTER, LLC
Other names
Pacific Gardens Medical Center, Hospice
Organization subpart
Yes
Provider details
NPI number
Legal business name
PACIFIC GARDENS MEDICAL CENTER, LLC
Authorized official
GIA SMITH (CEO)
(209) 505-1035
Entity
Organization
Contact information
Practice address
21530 PIONEER BLVD, HAWAIIAN GARDENS, CA 90716-2608
(562) 860-0401
(562) 924-5871
Mailing address
700 17TH ST STE 201D, MODESTO, CA 95354-1249
(209) 505-1035
Taxonomy
Speciality
Code
Description
License number
State
315D00000X
Inpatient Hospice
Primary
—
—
Other
Enumeration date
12/28/2017
Last updated
12/28/2017
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