Organization Name: | HOSPICE OF PHOENIX LLC |
NPI Number: | 1134243157 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SATTY BHOWRA (ADMI) |
Mailing Address: | 13175 E Highway 169 Dewey |
State: | AZ US |
Postal Code: | 863277372 |
Phone Number: | 9286320111 |
Fax Number: | 9286320333 |
NPI Enumeration Date: | 03/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH1000X |
License Number: | HSPC3721 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Hospice |
Taxonomy Definition: |