| Organization Name: | HOSPICE OF THE SOUTHWEST -WEST VALLEY LLC |
| NPI Number: | 1952578957 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD E BASS (CFO) |
| Mailing Address: | 17235 N 75th Ave Suite D-145 Glendale |
| State: | AZ US |
| Postal Code: | 853080831 |
| Phone Number: | 6238892216 |
| Fax Number: | 6238892282 |
| NPI Enumeration Date: | 05/09/2008 |
| NPI Last Update Date: | 09/15/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |