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NPI Code Detail

MEDICARE: HOSPICE OF THE VALLEY

MEDICARE: HOSPICE OF THE VALLEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WH1000XHospice Registered Nurse070000396CA
2251G00000XCommunity Based Hospice Care Agency070000396CA

Other Identifiers

General Provider Information

NPI Number : 1386636397
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOSPICE OF THE VALLEY
Provider Business Mailing Address
First Line : 4850 UNION AVE
Second Line :
City : SAN JOSE
State : CA
Zip : 95124-5156
Country : US
Telephone Number : 408-559-5600
Fax Number : 408-559-5320
Provider Business Practice Location Address
First Line : 4850 UNION AVE
Second Line :
City : SAN JOSE
State : CA
Zip : 95124-5156
Country : US
Telephone Number : 408-559-5600
Fax Number : 408-559-3520
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MS. SALLY ADELUS
Credential :
Telephone Number : 408-559-5600
Provider Enumeration Date : 08/16/2005
Last Update Date : 01/16/2013

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Directions to “HOSPICE OF THE VALLEY ” Practice Location

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