Organization
PROCARE HOSPICE CORP
Active
Other names
ProCare Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBERTA TERI WALSKI (CEO)
(805) 604-1211
Entity
Organization
Contact information
Practice address
1700 LOMBARD ST, 2ND FLOOR, OXNARD, CA 93030-8211
(805) 983-4708
(805) 983-1578
Mailing address
1700 LOMBARD ST, 2ND FLOOR, OXNARD, CA 93030-8211
(805) 983-4708
(805) 983-1578
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
070000580
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HPC01710F
—
CA
Enumeration date
07/19/2006
Last updated
03/10/2011
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