Organization
BLUPEAK HOSPICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJIV SIDDARAMU MD (CEO)
(602) 753-7137
Entity
Organization
Contact information
Practice address
4742 N 24TH ST STE 300, PHOENIX, AZ 85016-9107
(602) 753-8120
(602) 801-3865
Mailing address
4742 N 24TH ST STE 300, PHOENIX, AZ 85016-9107
(602) 753-8120
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/20/2024
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