| Organization Name: | BEECH HOSPICE LLC |
| NPI Number: | 1801245048 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HEATHER MADSEN (VP BUSINESS PERFORMANCE) |
| Mailing Address: | 2017 E Adobe St Mesa |
| State: | AZ US |
| Postal Code: | 852136740 |
| Phone Number: | 4804619370 |
| Fax Number: | 6023574604 |
| NPI Enumeration Date: | 06/08/2016 |
| NPI Last Update Date: | 06/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | HSPC7535 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |