Organization · NPI-2

A Servant'S Heart Palliative And Nursing, LLC

Family Medicine, Hospice and Palliative Medicine · Scottsdale, AZ

NPI number1831584127
StatusActive
Last updated in NPPESApr 14, 2021

Details

NPI
1831584127
Entity type
Organization (NPI-2)
Legal business name
A Servant'S Heart Palliative And Nursing, LLC
Organization subpart
No
Enumeration date
Apr 2, 2015
Certification date
Apr 14, 2021
Last updated
Apr 14, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207QH0002X Family Medicine, Hospice and Palliative Medicine––Yes

Practice location

6380 E Thomas Rd Ste 105
Scottsdale, AZ 85251-7073

Phone 480-771-3400 · Fax 480-304-3155

Mailing address

6380 E Thomas Rd Ste 105
Scottsdale, AZ 85251-7073

Phone 480-771-3400 · Fax 480-304-3155

Other practice locations

5111 N Scottsdale Rd Ste 203
Scottsdale, AZ 85250-7077

Phone 480-777-5117 · Fax 480-304-3155

Authorized official

Valerie Kenworthy
Regional Vice Presiden
4807713400

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