Organization
SACRED HEART HOSPICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. APRIL BOLLES (CEO)
(602) 476-2047
Entity
Organization
Contact information
Practice address
426 N 44TH ST STE 125, PHOENIX, AZ 85008-6508
(602) 799-3749
Mailing address
426 N 44TH ST STE 405, PHOENIX, AZ 85008-6508
(602) 476-2047
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
HSPC4126
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCPC
AZDHS LICENSE
AZ
Enumeration date
03/27/2007
Last updated
08/02/2019
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