# NORTHLAND HOSPICE & PALLIATIVE CARE INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTHLAND HOSPICE & PALLIATIVE CARE INC
- **Other names:** Elaine's Forest House
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1366947152
- **Legal business name:** NORTHLAND HOSPICE & PALLIATIVE CARE INC
- **Authorized official:** KATHERINE A SIMMONS (CEO)
- **Authorized official phone:** (928) 774-1227

## Contact information

- **Practice address:** 452 N SWITZER CANYON DR, FLAGSTAFF, AZ 86001-4855
- **Practice address phone:** (928) 779-1227
- **Mailing address:** 220 W FOREST AVE, FLAGSTAFF, AZ 86001-1477
- **Mailing address phone:** (928) 779-1227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 177F00000X | Lodging Provider | AL10516H | AZ | Yes |

## Other

- **Enumeration date:** 03/26/2018
- **Last updated:** 03/26/2018

## Other identifiers

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