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NPI Code Detail

MEDICARE: ADVENT HOSPICE LLC

MEDICARE: ADVENT 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 Agency

General Provider Information

NPI Number : 1356092001
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVENT HOSPICE LLC
Provider Business Mailing Address
First Line : 4025 E CHANDLER BLVD STE 52B
Second Line :
City : PHOENIX
State : AZ
Zip : 85048-8832
Country : US
Telephone Number : 602-284-8730
Fax Number : 480-550-8558
Provider Business Practice Location Address
First Line : 4025 E CHANDLER BLVD STE 52B
Second Line :
City : PHOENIX
State : AZ
Zip : 85048-8832
Country : US
Telephone Number : 602-284-8730
Fax Number : 480-550-8558
Authorized Official
Title or Position : DIRECTOR OF NURSING
Name : MRS. WENDY VEQUILLA DINGLASAN
Credential : RN
Telephone Number : 602-284-8730
Provider Enumeration Date : 01/14/2022
Last Update Date : 01/14/2022

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Directions to “ADVENT HOSPICE LLC ” Practice Location

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