Organization
CASA DE LA LUZ LLC
Active
Other names
Casa de la Luz Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
AGNES C POORE RN, BSN, MBA (MEMBER, LLC)
(520) 544-9890
Entity
Organization
Contact information
Practice address
7740 N ORACLE RD, TUCSON, AZ 85704-6390
(520) 544-9890
(520) 544-9894
Mailing address
7740 N ORACLE RD, TUCSON, AZ 85704-6390
(520) 544-9890
(520) 544-9894
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
HSPC2206
AZ
315D00000X
Inpatient Hospice
Primary
HSPC3560
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
483149
—
AZ
Enumeration date
02/20/2006
Last updated
03/10/2015
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