Organization
ARKANSAS VALLEY HOSPICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSIE LANE ELDER BSN, RN (DIRECTOR)
(719) 384-8827
Entity
Organization
Contact information
Practice address
531 LEWIS AVE, LA JUNTA, CO 81050-1738
(719) 384-8827
(719) 384-2045
Mailing address
PO BOX 408, LA JUNTA, CO 81050-0408
(719) 384-8827
(719) 384-2045
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
0619
CO
251G00000X
Community Based Hospice Care Agency
Primary
170217
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05800149
—
CO
Enumeration date
08/02/2006
Last updated
12/21/2018
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