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Organization

DESERT OASIS HOSPICE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEVIN GORDON JACKSON (PRESIDENT)
(602) 424-4204
Entity
Organization

Contact information

Practice address
5147 N 45TH PL, PHOENIX, AZ 85018-1704
(602) 505-1018
Mailing address
5147 N 45TH PL, PHOENIX, AZ 85018-1704
(602) 505-1018

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
HSPC3868
AZ

Other

Enumeration date
05/26/2006
Last updated
12/14/2016
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