Provider Demographics
NPI:1144996372
Name:GLOBAL HOSPICE AND PALLIATIVE CARE OF FRESNO, INC.
Entity type:Organization
Organization Name:GLOBAL HOSPICE AND PALLIATIVE CARE OF FRESNO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:J
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-499-8634
Mailing Address - Street 1:400 12TH ST STE 18
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95354-2415
Mailing Address - Country:US
Mailing Address - Phone:209-499-8634
Mailing Address - Fax:
Practice Address - Street 1:1255 W SHAW AVE STE 106
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-3716
Practice Address - Country:US
Practice Address - Phone:559-271-6825
Practice Address - Fax:559-271-6963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-18
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based