Organization
CP SONOMA N-CA HOSPICE, LLC
Active
Other names
Providence at home with Compassus Hospice Care, Sonoma County North, Providence at Home with Compassus Palliative Care, Sonoma County, Providence at Home with Compassus Hospice Care, Sonoma County
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI WARREN (CHIEF EXECUTIVE OFFICER)
(310) 480-2982
Entity
Organization
Contact information
Practice address
416 PAYRAN ST, PETALUMA, CA 94952-5907
(707) 778-6242
Mailing address
416 PAYRAN ST, PETALUMA, CA 94952-5907
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
10/29/2024
Last updated
02/24/2025
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