Fountain Hills Hospice, LLC
Hospice Care, Community Based in Tempe, AZ. Organization (NPI-2).
NPI number1104365477
StatusActive
Last updated in NPPESOct 11, 2019
Details
- NPI
- 1104365477
- Entity type
- Organization (NPI-2)
- Legal business name
- Fountain Hills Hospice, LLC
- Organization subpart
- No
- Enumeration date
- Feb 18, 2017
- Last updated
- Oct 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251G00000X | Hospice Care, Community Based | – | – | Yes |
Practice location
1801 S Jentilly Ln Ste A10Tempe, AZ 85281-5738
Phone 888-900-4543 · Fax 480-500-7996
Mailing address
17007 E Colony Dr Ste 107Fountain Hills, AZ 85268-4672
Phone 480-500-7394 · Fax 480-500-7996
Authorized official
Grigor Kepenyan
Manager
4805007394
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