# ARCHIE HENDRICKS SR SKILLED NURSING FACILITY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Tohono O'odham Hospice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073503777
- **Authorized official:** MR. ROSS WILKOFF (ADMINISTRATOR)
- **Authorized official phone:** (520) 585-5500

## Contact information

- **Practice address:** HC 01 BOX 9100, SELLS, AZ 85634
- **Practice address phone:** (520) 361-1800
- **Practice address fax:** (520) 361-3656
- **Mailing address:** HC 01 BOX 9100, SELLS, AZ 85634
- **Mailing address phone:** (520) 585-5500
- **Mailing address fax:** (520) 585-5510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/24/2005
- **Last updated:** 09/25/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 917651 | — | AZ |