Organization
SOLARIS HOSPICE AZ, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEANNE PETERSON (COO)
(940) 627-1011
Entity
Organization
Contact information
Practice address
1060 IRON SPRINGS RD, PRESCOTT, AZ 86305-1622
(940) 627-1011
Mailing address
2250 S FM 51 STE 400, DECATUR, TX 76234-3767
(940) 627-1011
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HSPC9110
STATE LICENSURE
AZ
Enumeration date
06/20/2018
Last updated
10/01/2021
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