Organization
HOSPICE SERVICE OF LAKE COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA L PHELPS (DIRECTOR OF QUALITY AND COMPLIANCE)
(707) 263-6222
Entity
Organization
Contact information
Practice address
1862 PARALLEL DR, LAKEPORT, CA 95453
(707) 263-6222
(707) 263-4045
Mailing address
1862 PARALLEL DR, LAKEPORT, CA 95453-9388
(707) 263-6222
(707) 263-4045
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
100000734
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HPC01561F
—
CA
Enumeration date
07/01/2005
Last updated
02/06/2026
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