institution
Hospice Of Havasu, Inc.
Community Based Hospice Care Agency in Lake Havasu City, Arizona
NPI 1649254517

Hospice Of Havasu, Inc. is a Community Based Hospice Care Agency based in Lake Havasu City, AZ. Hospice Of Havasu, Inc. practices in Lake Havasu City, AZ. The NPI Number for Hospice Of Havasu, Inc. is 1649254517 and holds a License No. HSPC0011 (Arizona).

The current practice location address for Hospice Of Havasu, Inc. is 232 London Bridge Rd Bldg A, Lake Havasu City, AZ and can be reached out via phone at 928-453-2111. You can also correspond with Hospice Of Havasu, Inc. through the mailing address at PO BOX 597, LAKE HAVASU CITY, AZ - 86405-0597 (mailing address contact number: 928-453-2111).

Location: 232 London Bridge Rd Bldg A, Lake Havasu City, AZ, 86405-0597
institution
Provider Profile Details
NPI Number
1649254517
Provider Name
Hospice Of Havasu, Inc.
Credential
Provider Entity Type
Organization
Address
232 London Bridge Rd Bldg A, Lake Havasu City, AZ, 86405-0597
Phone Number
928-453-2111
Fax Number
Provider Enumeration Date
12/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
421412 01 AZ FEDERAL ID NUMBER
AZ0701560 01 AZ BC/BS ID NUMBER
institution
Provider Business Practice Location Address Details
Address
232 London Bridge Rd Bldg A
City
State
Zip
86403-4647
Phone Number
928-453-2111
Fax Number
person
Provider Business Mailing Address Details
Address
232 London Bridge Rd Bldg A
City
State
Zip
86403-4647
Phone Number
928-453-2111
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Hospice Care, Community Based
Speciality
-
Taxonomy
License No.
HSPC0011 (Arizona)
Definition
Definition to come...
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