Healthcare Provider Details

I. General information

NPI: 1669990941
Provider Name (Legal Business Name): BILLET HOSPICE INC - BULLHEAD CITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2017
Last Update Date: 02/04/2020
Certification Date: 02/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1954 HIGHWAY 95 STE B
BULLHEAD CITY AZ
86442-6751
US

IV. Provider business mailing address

6710 N 47TH AVE STE 8
GLENDALE AZ
85301-4111
US

V. Phone/Fax

Practice location:
  • Phone: 833-224-5538
  • Fax:
Mailing address:
  • Phone: 833-224-5538
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: VAHAN OGANESYAN
Title or Position: COO
Credential:
Phone: 833-224-5538