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NPI Code Detail

MEDICARE: SUN HEALTH HOSPICE CARE SERVICES

MEDICARE: SUN HEALTH HOSPICE CARE SERVICES
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 AgencyHSPC-3722AZ

General Provider Information

NPI Number : 1780638379
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUN HEALTH HOSPICE CARE SERVICES
Provider Business Mailing Address
First Line : PO BOX 29892
Second Line :
City : PHOENIX
State : AZ
Zip : 85038-9892
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12740 N PLAZA DEL RIO BLVD
Second Line : SUITE B
City : PEORIA
State : AZ
Zip : 85381-8100
Country : US
Telephone Number : 623-815-2800
Fax Number :
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : LEE PETERSON
Credential :
Telephone Number : 623-876-5352
Provider Enumeration Date : 05/19/2006
Last Update Date : 08/22/2020

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Directions to “SUN HEALTH HOSPICE CARE SERVICES ” Practice Location

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