GRAND CANYON STATE HEALTH CARE LLC

GILBERT, AZ
NPI1801133483
Entity TypeOrganization
Authorized ContactMARK ADAM THIELE
CEO/President
602-616-8933
Organization Subpart ?No
Primary Taxonomy251G00000X Hospice Care, Community Based
Enumeration Date2013-01-15
Last Update Date2013-01-15
Business Address
GRAND CANYON STATE HEALTH CARE LLC
1067 S PORTLAND AVE
GILBERT, AZ 85296-8924
Phone number: 602-616-8933
Mailing Address
GRAND CANYON STATE HEALTH CARE LLC
1067 S PORTLAND AVE
GILBERT, AZ 85296-8924
Phone number: 602-616-8933
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