Organization Name: | NATURAL HOSPICE, LLC |
NPI Number: | 1518158039 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VICKIE M. LEWIS (CHIEF ADMINISTRATIVE OFFICER) |
Mailing Address: | 901 E Cottonwood Ln Suite C Casa Grande |
State: | AZ US |
Postal Code: | 852222221 |
Phone Number: | 5204261272 |
Fax Number: | 5204261574 |
NPI Enumeration Date: | 08/08/2007 |
NPI Last Update Date: | 08/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | HSPC3942 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |