Organization Name: | VALLEY HOSPICE OF ARIZONA INC |
NPI Number: | 1568705929 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTINE MUTURI (CHIEF ADMINISTRATOR) |
Mailing Address: | 4033 E Leonora Cir Mesa |
State: | AZ US |
Postal Code: | 852152335 |
Phone Number: | 4806430599 |
Fax Number: | 4809214115 |
NPI Enumeration Date: | 04/03/2013 |
NPI Last Update Date: | 04/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |