Organization
VICTORY HOSPICE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT DALEY (CO-OWNER)
(928) 432-0662
Entity
Organization
Contact information
Practice address
245 W 2ND ST STE 29, MESA, AZ 85201-6563
(480) 525-0314
(480) 525-0315
Mailing address
245 W 2ND ST STE 29, MESA, AZ 85201-6563
(480) 525-0314
(480) 525-0315
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031738
—
AZ
Enumeration date
07/21/2020
Last updated
04/30/2026
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