| NPI | 1326092925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ERNEST WILLIAMS Executive Director 928-343-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: AZ HSPC0003) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: AZ HSPC0003) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: AZ HSPC0003) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2015-04-30 |