# NORTHLAND HOSPICE & PALLIATIVE CARE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTHLAND HOSPICE & PALLIATIVE CARE
- **Other names:** Olivia White Hospice HOme
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1366607145
- **Legal business name:** NORTHLAND HOSPICE & PALLIATIVE CARE
- **Authorized official:** MRS. CHARLENE TAYLOR (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (928) 779-1227

## Contact information

- **Practice address:** 752 N SWITZER CANYON DR, FLAGSTAFF, AZ 86001-4835
- **Practice address phone:** (928) 226-1915
- **Practice address fax:** (928) 226-1923
- **Mailing address:** PO BOX 997, FLAGSTAFF, AZ 86002-0997
- **Mailing address phone:** (928) 779-1227
- **Mailing address fax:** (928) 779-5884

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 177F00000X | Lodging Provider | ALH-4018 | AZ | Yes |

## Other

- **Enumeration date:** 07/22/2008
- **Last updated:** 07/22/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 110495 | — | AZ |
| 05 | — | 726185 | — | AZ |