# SAFE HARBOR HOSPICE OF ARIZONA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215574470
- **Authorized official:** LINH NGUYEN MD (CEO)
- **Authorized official phone:** (623) 374-7774

## Contact information

- **Practice address:** 14780 W MOUNTAIN VIEW BLVD STE 110, SURPRISE, AZ 85374-7280
- **Practice address phone:** (623) 374-7774
- **Practice address fax:** (855) 420-6361
- **Mailing address:** 14780 W MOUNTAIN VIEW BLVD STE 110, SURPRISE, AZ 85374-7280
- **Mailing address phone:** (623) 374-7774
- **Mailing address fax:** (855) 420-6361

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | — | Yes |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |

## Other

- **Enumeration date:** 12/06/2019
- **Last updated:** 12/06/2019