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Organization

LIFE CARE AT HOME OF ARIZONA INC

Active
Other names
AFFINITY HOSPICE OF LIFE
Organization subpart
No

Provider details

NPI number
Authorized official
PAMELA RAU (VICE PRESIDENT FINANCE)
(423) 473-5280
Entity
Organization

Contact information

Practice address
1661 E CAMELBACK RD, SUITE 350, PHOENIX, AZ 85016-3911
(602) 253-2273
(602) 253-1999
Mailing address
3001 KEITH ST NW, CLEVELAND, TN 37312-3713
(423) 473-5280
(423) 339-8356

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
HSPC3847
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
138621
AZ
Enumeration date
04/19/2006
Last updated
01/24/2013
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