Organization Name: | ZIA HOSPICE INC. |
NPI Number: | 1508975509 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHERRY LEE WILLIAMS (ADMIN) |
Mailing Address: | 4811 Hardware Dr Ne Ste E-4 Albuquerque |
State: | NM US |
Postal Code: | 871092017 |
Phone Number: | 5058302978 |
Fax Number: | 5058302988 |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 06/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 3063A2 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |