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Organization
HOSPICE OF THE SOUTHWEST - WEST VALLEY, LLC
Active
Organization
HOSPICE OF THE SOUTHWEST - WEST VALLEY, LLC
Active
Other names
Tucson Community Palliative Care
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD E BASS (MANAGING PARTNER)
(602) 717-4751
Entity
Organization
Contact information
Practice address
5055 E BROADWAY BLVD, STE D-205, TUCSON, AZ 85711-3625
(520) 230-4450
(520) 230-4451
Mailing address
5055 E BROADWAY BLVD, STE D-205, TUCSON, AZ 85711-3625
(520) 230-4450
(520) 230-4451
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
208VP0000X
Pain Medicine Physician
Primary
—
NULL
208VP0000X
Pain Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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