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General NPI Number Information
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NPI Number | 1619529427
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Entity Type | Organization
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Legal Business Name | DESERT ROSE HOSPICE CARE LLC
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Dates
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Enumeration Date | 07/11/2019
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Last Update Date | 12/20/2019
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Provider Practice Location Address
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Address Line | 8399 E INDIAN SCHOOL RD STE 102
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-2867
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Country | US
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Telephone | 602-885-6749
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Fax |
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Provider Business Mailing Address
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Address Line | 8399 E INDIAN SCHOOL RD STE 102
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-2867
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Country | US
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Telephone | 602-885-6749
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CZEICK RAGAY MARAVILLAS
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Credential | RN, BSN
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Telephone | 480-687-9105
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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