| Organization Name: | CHARLES WM. LEIGHTON, JR. HOSPICE, INC. |
| NPI Number: | 1366440083 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARJORY SUE SCOTT (ADMINISTRATOR) |
| Mailing Address: | 524 West Maley Place Willcox |
| State: | AZ US |
| Postal Code: | 85643 |
| Phone Number: | 5203845878 |
| Fax Number: | 5203844127 |
| NPI Enumeration Date: | 07/07/2005 |
| NPI Last Update Date: | 07/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | HSPC-2902 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |