| Organization Name: | ARIZONA FAMILY HOSPICE LLC |
| NPI Number: | 1750793469 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FANEL TOHATAN (CEO) |
| Mailing Address: | 291 S Main St Suite G4 Yuma |
| State: | AZ US |
| Postal Code: | 853641414 |
| Phone Number: | 9282764477 |
| Fax Number: | 9282764481 |
| NPI Enumeration Date: | 05/29/2014 |
| NPI Last Update Date: | 05/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | HSPC4911 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |