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NPI Code Detail

MEDICARE: OPTIMAL HOSPICE INC

MEDICARE: OPTIMAL HOSPICE INC
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 : 1669138152
Entity Type Code : Organization
Provider Name (Legal Business Name) : OPTIMAL HOSPICE INC
Provider Business Mailing Address
First Line : 64 E BROADWAY RD STE 278
Second Line :
City : TEMPE
State : AZ
Zip : 85282-1353
Country : US
Telephone Number : 623-887-8837
Fax Number : 602-296-0256
Provider Business Practice Location Address
First Line : 64 E BROADWAY RD STE 278
Second Line :
City : TEMPE
State : AZ
Zip : 85282-1353
Country : US
Telephone Number : 623-887-8837
Fax Number : 602-296-0256
Authorized Official
Title or Position : CEO
Name : MR. GEVORG STEPANYAN
Credential :
Telephone Number : 623-887-8837
Provider Enumeration Date : 11/10/2021
Last Update Date : 11/10/2021

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Directions to “OPTIMAL HOSPICE INC ” Practice Location

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