| NPI | 1396140778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMABEL BALTAR BONGOYAN Administrator/Don 602-374-6878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: AZ HSPC7945) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based (Licence: AZ HSPC6394) |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2021-04-12 |