Provider Demographics
NPI:1487909776
Name:VALLEY HOSPICE CARE, LLC
Entity type:Organization
Organization Name:VALLEY HOSPICE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-225-7897
Mailing Address - Street 1:41593 WINCHESTER RD
Mailing Address - Street 2:200
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-4860
Mailing Address - Country:US
Mailing Address - Phone:951-225-7897
Mailing Address - Fax:
Practice Address - Street 1:41593 WINCHESTER RD
Practice Address - Street 2:200
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-4860
Practice Address - Country:US
Practice Address - Phone:951-225-7897
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-23
Last Update Date:2012-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based