Organization Name: | V A HOSPICE 3 INC |
NPI Number: | 1033564430 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VAHAN OGANESYAN (COO) |
Mailing Address: | 996 N Broad St Ste 6b Ste 6b Globe |
State: | AZ US |
Postal Code: | 855012300 |
Phone Number: | 8448243577 |
Fax Number: | 8443298682 |
NPI Enumeration Date: | 05/04/2016 |
NPI Last Update Date: | 05/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | HSPC6959 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |