Provider Demographics
NPI:1467841403
Name:VALENCIA HOSPICE CARE
Entity Type:Organization
Organization Name:VALENCIA HOSPICE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SANAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:BOURGEOIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-249-6245
Mailing Address - Street 1:25050 AVENUE KEARNY STE 104
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-1256
Mailing Address - Country:US
Mailing Address - Phone:661-249-6245
Mailing Address - Fax:
Practice Address - Street 1:25050 AVENUE KEARNY STE 104
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-1256
Practice Address - Country:US
Practice Address - Phone:661-249-6245
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-14
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based