| NPI | 1386619799 |
|---|---|
| Doing Business As | CASA DE LA LUZ HOSPICE |
| Entity Type | Organization |
| Authorized Contact | AGNES C POORE Member, LLC 520-544-9890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315D00000X Hospice, Inpatient (Licence: AZ HSPC3560) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based (Licence: AZ HSPC2206) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2015-03-10 |