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Rebecca Sue Whitmire
Home Health Agency in Clearlake, California
NPI 1124785027

Rebecca Sue Whitmire is a Home Health Agency based in Clearlake, CA. Rebecca Sue Whitmire practices in Clearlake, CA. The NPI Number for Rebecca Sue Whitmire is 1124785027 and holds a License No. R0166041 (California).

The current practice location address for Rebecca Sue Whitmire is 14708 Palmer Avenue, Clearlake, CA and can be reached out via phone at 707-953-7064.

Location: 14708 Palmer Avenue, Clearlake, CA, 95422-2945
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124785027
Provider Name
Rebecca Sue Whitmire
Credential
Provider Entity Type
Individual
Gender
Female
Address
14708 Palmer Avenue, Clearlake, CA, 95422-2945
Phone Number
707-953-7064
Fax Number
Provider Enumeration Date
11/26/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
151744100 01 CA OWCP PROVIDER ID
institution
Provider Business Practice Location Address Details
Address
14708 Palmer Avenue
City
Clearlake
State
California
Zip
95422-2945
Phone Number
707-953-7064
Fax Number
person
Provider Business Mailing Address Details
Address
14708 Palmer Avenue
City
Clearlake
State
California
Zip
95422-2945
Phone Number
707-953-7064
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
R0166041 (California)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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