Healthcare Provider Details

I. General information

NPI: 1164611323
Provider Name (Legal Business Name): VALOR HOSPICECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2007
Last Update Date: 05/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1048 E FRY BLVD SUITE E
SIERRA VISTA AZ
85635-1839
US

IV. Provider business mailing address

1860 E RIVER RD SUITE 200
TUCSON AZ
85718-5993
US

V. Phone/Fax

Practice location:
  • Phone: 520-458-9450
  • Fax: 520-458-9455
Mailing address:
  • Phone: 520-615-3996
  • Fax: 520-615-3998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License NumberHSPC3739
License Number StateAZ

VIII. Authorized Official

Name: MRS. NATASHA ROWE
Title or Position: VICE PRESIDENT
Credential:
Phone: 520-615-3996