Organization Name: | NEW HOPE HOSPICE OF BULLHEAD CITY INC |
NPI Number: | 1437435708 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TAMBERLY JEAN SEELE (CHIEF FINANCIAL OFFICER) |
Mailing Address: | 3550 North Lane, Ste 102, 104, 106, 108 Bullhead City |
State: | AZ US |
Postal Code: | 864429114 |
Phone Number: | 9284448122 |
Fax Number: | 9284448155 |
NPI Enumeration Date: | 10/31/2011 |
NPI Last Update Date: | 02/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | HSPC5120 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |