Organization
HOSPICE OF YUMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ERNEST WILLIAMS LMSW (EXECUTIVE DIRECTOR)
(928) 343-2222
Entity
Organization
Contact information
Practice address
1824 S 8TH AVE, YUMA, AZ 85364-5517
(928) 343-2222
(928) 217-2260
Mailing address
1824 S 8TH AVE, YUMA, AZ 85364-5517
(928) 343-2222
(928) 217-2260
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
HSPC0003
AZ
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
HSPC0003
AZ
251G00000X
Community Based Hospice Care Agency
Primary
HSPC0003
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
673229
—
AZ
Enumeration date
05/19/2006
Last updated
04/30/2015
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