Provider Demographics
NPI:1063094738
Name:SAN FRANCISCO HEALTH CARE HOSPICE
Entity type:Organization
Organization Name:SAN FRANCISCO HEALTH CARE HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STAN
Authorized Official - Middle Name:
Authorized Official - Last Name:STUKOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-404-6525
Mailing Address - Street 1:1477 GROVE ST STE 104
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94117-1421
Mailing Address - Country:US
Mailing Address - Phone:415-404-6525
Mailing Address - Fax:415-985-2121
Practice Address - Street 1:1477 GROVE ST STE 104
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94117-1421
Practice Address - Country:US
Practice Address - Phone:415-404-6525
Practice Address - Fax:415-985-2121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-22
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based