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Hospice Of Havasu, Inc.
Community Based Hospice Care Agency in Big River, California
NPI 1255513578

Hospice Of Havasu, Inc. is a Community Based Hospice Care Agency based in Lake Havasu City, CA. Hospice Of Havasu, Inc. practices in Big River, CA. The NPI Number for Hospice Of Havasu, Inc. is 1255513578 and holds a License No. HSPC0011 (California).

The current practice location address for Hospice Of Havasu, Inc. is 150351 Del Rey Drive, Big River, CA and can be reached out via phone at 928-453-2111.

Location: 150351 Del Rey Drive, Big River, CA, 86405-0597
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255513578
Provider Name
Hospice Of Havasu, Inc.
Credential
Provider Entity Type
Organization
Address
150351 Del Rey Drive, Big River, CA, 86405-0597
Phone Number
928-453-2111
Fax Number
Provider Enumeration Date
11/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AZ0701560 01 AZ BC/BS ID NUMBER
421412 01 AZ FEDERAL ID NUMBER
03153 01 AZ MEDICARE ID
institution
Provider Business Practice Location Address Details
Address
150351 Del Rey Drive
City
Big River
State
California
Zip
92242-2376
Phone Number
928-453-2111
Fax Number
person
Provider Business Mailing Address Details
Address
150351 Del Rey Drive
City
Big River
State
California
Zip
92242-2376
Phone Number
928-453-2111
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Hospice Care, Community Based
Speciality
-
Taxonomy
251G00000X
License No.
HSPC0011 (Arizona)
Definition
Definition to come...
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