Organization
EXCEL HOSPICE AND PALLIATIVE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESIREE MELENDRES MAGCALAS RN (CEO)
(818) 493-8223
Entity
Organization
Contact information
Practice address
10742 SE HIGHWAY 212, CLACKAMAS, OR 97015-9144
(818) 493-8223
(888) 512-3353
Mailing address
10742 SE HIGHWAY 212, CLACKAMAS, OR 97015-9144
(818) 493-8223
(888) 512-3353
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
16-1074
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16-1074
OREGON HEALTH AUTHORITY PUBLIC HEALTH DIVISON
OR
Enumeration date
06/18/2018
Last updated
06/18/2018
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