Organization Name: | ADVANCED INDEPENDENCE |
NPI Number: | 1447401039 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CYNTHIA LYNNE MOODY (CEO/DIREDTOR) |
Mailing Address: | 5313 W Muriel Dr Glendale |
State: | AZ US |
Postal Code: | 853085356 |
Phone Number: | 6024397080 |
Fax Number: | 6028636385 |
NPI Enumeration Date: | 10/01/2008 |
NPI Last Update Date: | 10/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |