Mohave Healthcare, INC.
Hospice Care, Community Based in Phoenix, AZ. Organization (NPI-2).
NPI number1164054136
StatusActive
Last updated in NPPESJan 16, 2025
Details
- NPI
- 1164054136
- Entity type
- Organization (NPI-2)
- Legal business name
- Mohave Healthcare, INC.
- Organization subpart
- No
- Enumeration date
- Feb 7, 2020
- Certification date
- Jan 16, 2025
- Last updated
- Jan 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251G00000X | Hospice Care, Community Based | – | – | Yes |
Other names
- Emblem Hospice West (Doing Business As)
Practice location
301 E Bethany Home Rd Ste C292Phoenix, AZ 85012-1271
Phone 623-322-8686
Mailing address
301 E Bethany Home Rd Ste C292Phoenix, AZ 85012-1271
Phone 623-322-8686
Authorized official
Amber L Tueller
Secretary
2082072726
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