Organization
AEGIS HOSPICE, INC
Active
Other names
Aegis Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN LARSEN (ADMINISTRATOR)
(435) 754-4962
Entity
Organization
Contact information
Practice address
7227 E BASELINE RD STE 129, MESA, AZ 85209-5006
(480) 219-4790
(480) 584-5871
Mailing address
7227 E BASELINE RD STE 129, MESA, AZ 85209-5006
(480) 219-4790
(480) 584-5871
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
AZ
315D00000X
Inpatient Hospice
—
—
Other
Enumeration date
02/15/2012
Last updated
08/22/2022
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