| NPI | 1033165352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN GORDON JACKSON President 602-424-4204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: AZ HSPC3868) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2016-12-14 |