Organization
TRANQUILITY HOSPICE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MA TERESITA PATINO ISIDERIO (ADMINISTRATOR)
(480) 343-8045
Entity
Organization
Contact information
Practice address
8751 N 51ST AVE STE 110, GLENDALE, AZ 85302-4944
(480) 343-8045
(623) 939-3115
Mailing address
8751 N 51ST AVE STE 110, GLENDALE, AZ 85302-4944
(480) 343-8045
(623) 939-3115
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
HSPC8134
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HSPC8134
STATE LICENSE
AZ
Enumeration date
02/12/2018
Last updated
06/16/2018
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