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NPI Code Detail

MEDICARE: HOSPICE OF THE VALLEY

MEDICARE: HOSPICE OF THE VALLEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251G00000XCommunity Based Hospice Care AgencyHSPC0018AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588682405
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOSPICE OF THE VALLEY
Provider Business Mailing Address
First Line : 1510 E FLOWER ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85014-5656
Country : US
Telephone Number : 602-530-6900
Fax Number : 602-530-6902
Provider Business Practice Location Address
First Line : 1510 E FLOWER ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85014-5698
Country : US
Telephone Number : 602-287-7000
Fax Number : 602-287-7001
Authorized Official
Title or Position : ASSOCIATE EXECUTIVE DIRECTOR
Name : MRS. DEBORAH SHUMWAY
Credential :
Telephone Number : 602-530-6946
Provider Enumeration Date : 07/18/2006
Last Update Date : 01/16/2014

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Directions to “HOSPICE OF THE VALLEY ” Practice Location

Language Start Address Practice Location
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