Organization
STONERIDGE HOSPICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTI BRAZEL RN (MEMBER/MANAGER)
(602) 361-8124
Entity
Organization
Contact information
Practice address
20860 N TATUM BLVD STE 300, PHOENIX, AZ 85050-4283
(480) 771-3983
Mailing address
20860 N TATUM BLVD STE 300, PHOENIX, AZ 85050-4283
(480) 771-3983
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1234
N/A
—
Enumeration date
03/05/2020
Last updated
05/08/2020
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