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Organization

HOSPICE OF THE NORTH COAST

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHARON LUTZ RN BSN CHPN (EXECUTIVE DIRECTOR)
(760) 431-4100
Entity
Organization

Contact information

Practice address
2525 PIO PICO DR, SUITE 301, CARLSBAD, CA 92008-1568
(760) 431-4100
(760) 431-4133
Mailing address
2525 PIO PICO DR, SUITE 301, CARLSBAD, CA 92008-1568
(760) 431-4100
(760) 431-4133

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
080000621
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
HPC01733F
MEDI-CAL PROVIDER #
CA
Enumeration date
07/15/2005
Last updated
12/30/2014
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