| Address |
1420 W Kettleman Lane, Suite S1 Lodi, CA 95242 United States |
|
|---|---|---|
| Phone | 2093695110 | |
| Fax | 2093695130 | |
| State | California | |
| Number of employees | 5 | |
| Number of volunteers | 0.1 | |
| Provider category | HOSPICE |
| CMS Certification Number | 921717 | |
|---|---|---|
| CMS regional office | ||
| Medicare/Medicaid programs eligible | ||
| Medicaid vendor number | 1467837096 | |
| Participation date | October 28, 2017 | |
| Ownership type | Proprietary - Corporation | |
| Facility type | Freestanding Hospice | |
| Last updated | Oct 2026 |
| Service Provided | By staff | Under arrangement |
|---|---|---|
| Counseling | ||
| Home Health Aide | ||
| Medical Social Services | ||
| Nursing Services | ||
| Occupational Therapy | ||
| Physical Therapy | ||
| Speech Pathology Services | ||
| Medical Supply | ||
| Physician Services | ||
| Short Term Inpatient Care |