Provider Demographics
NPI:1306506936
Name:DCE HOSPICE INC
Entity type:Organization
Organization Name:DCE HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-888-8862
Mailing Address - Street 1:8795 FOLSOM BLVD STE 108
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95826-3720
Mailing Address - Country:US
Mailing Address - Phone:877-888-8862
Mailing Address - Fax:916-818-2285
Practice Address - Street 1:8795 FOLSOM BLVD STE 108
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95826-3720
Practice Address - Country:US
Practice Address - Phone:877-888-8862
Practice Address - Fax:916-818-2285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-22
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based