Healthcare Provider Details

I. General information

NPI: 1770042103
Provider Name (Legal Business Name): WESTERN HEALTH RESOURCES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2019
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 S LOWER SACRAMENTO RD
LODI CA
95242-3635
US

IV. Provider business mailing address

PO BOX 619120
ROSEVILLE CA
95661-9120
US

V. Phone/Fax

Practice location:
  • Phone: 209-333-3131
  • Fax:
Mailing address:
  • Phone: 916-406-1430
  • Fax: 916-406-2377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MELISSA K WARD
Title or Position: PRESIDENT
Credential:
Phone: 916-406-1430