Organization Name: | HOSPICE OF THE SOUTHWEST LLC |
NPI Number: | 1568569846 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD BASS (CHIEF FINANCIAL OFFICER) |
Mailing Address: | 450 N. Dobson Road Suite 108 Mesa |
State: | AZ US |
Postal Code: | 85201 |
Phone Number: | 4804569300 |
Fax Number: | 4804569696 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 07/20/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | HSPC3648 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |