| NPI | 1447733043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL HENDERSON Owner 928-273-4442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315D00000X Hospice, Inpatient |
| Additional Taxonomies | 282E00000X |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2018-09-10 |