Organization Name: | HOSPICE FAMILY CARE, INC. |
NPI Number: | 1417360835 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JESSICA KLEBERG (VP OF LEGAL AFFAIRS) |
Mailing Address: | 448 N Hwy 89 Suite G & H Chino Valley |
State: | AZ US |
Postal Code: | 86323 |
Phone Number: | 9282778384 |
Fax Number: | |
NPI Enumeration Date: | 06/03/2014 |
NPI Last Update Date: | 05/16/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | HSPC6437 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |