Organization Name: | HOSPICE OF THE VALLEY |
NPI Number: | 1043238975 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBORAH SHUMWAY (ASSOCIATE EXECUTIVE DIRECTOR) |
Mailing Address: | 9435 W Peoria Ave Peoria |
State: | AZ US |
Postal Code: | 853456479 |
Phone Number: | 6235834848 |
Fax Number: | 6235833285 |
NPI Enumeration Date: | 07/18/2006 |
NPI Last Update Date: | 01/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | HSPC0022 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |