Organization
AVISTA HOSPICE ARIZONA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE FINE (AUTHORIZED AGENT)
(480) 244-9173
Entity
Organization
Contact information
Practice address
2415 S SIGNAL BUTTE RD, MESA, AZ 85209-2107
(480) 907-5588
Mailing address
1930 N ARBOLEDA STE 215, MESA, AZ 85213-3217
(480) 244-9173
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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