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Organization
NORTHLAND HOSPICE & PALLIATIVE CARE INC
Active
Organization
NORTHLAND HOSPICE & PALLIATIVE CARE INC
Active
Parent organization
NORTHLAND HOSPICE & PALLIATIVE CARE INC
Other names
Elaine's Forest House
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHLAND HOSPICE & PALLIATIVE CARE INC
Authorized official
KATHERINE A SIMMONS (CEO)
(928) 774-1227
Entity
Organization
Contact information
Practice address
452 N SWITZER CANYON DR, FLAGSTAFF, AZ 86001-4855
(928) 779-1227
Mailing address
220 W FOREST AVE, FLAGSTAFF, AZ 86001-1477
(928) 779-1227
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
AL10516H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110495
—
AZ
05
—
726185
—
AZ
Enumeration date
03/26/2018
Last updated
03/26/2018
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