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Organization

QUIVIRA HEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TREVOR COLLETTE (MEMBER)
(602) 609-6777
Entity
Organization

Contact information

Practice address
1910 S STAPLEY DR STE 221-249, MESA, AZ 85204-6674
(602) 609-6777
(602) 609-6777
Mailing address
1910 S STAPLEY DR STE 221-249, MESA, AZ 85204-6674
(602) 609-6777
(602) 609-6777

Taxonomy

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

Other

Enumeration date
04/30/2020
Last updated
04/30/2020
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