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NPI Code Detail

MEDICARE: DOCTORS CHOICE HOSPICE LLC

MEDICARE: DOCTORS CHOICE HOSPICE LLC
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 AgencyME7908AZ
2251G00000XCommunity Based Hospice Care Agency
3251G00000XCommunity Based Hospice Care AgencyMED7908AZ

General Provider Information

NPI Number : 1174003024
Entity Type Code : Organization
Provider Name (Legal Business Name) : DOCTORS CHOICE HOSPICE LLC
Provider Business Mailing Address
First Line : 60 E RIO SALADO PKWY STE 900
Second Line :
City : TEMPE
State : AZ
Zip : 85281-9126
Country : US
Telephone Number : 480-219-5415
Fax Number : 480-393-8555
Provider Business Practice Location Address
First Line : 60 E RIO SALADO PKWY STE 900
Second Line :
City : TEMPE
State : AZ
Zip : 85281-9126
Country : US
Telephone Number : 480-219-5415
Fax Number : 480-393-8555
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : BRANDON RENNER
Credential : RN
Telephone Number : 480-645-9640
Provider Enumeration Date : 08/20/2018
Last Update Date : 08/30/2022

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Directions to “DOCTORS CHOICE HOSPICE LLC ” Practice Location

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