Organization
VERDE VALLEY COMMUNITY HOSPICE, LLC
Active
Other names
Aviant Hospice Yavapai
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD E BASS (PRESIDENT)
(602) 717-4751
Entity
Organization
Contact information
Practice address
1756 E. VILLA DR., STE. C-17, COTTONWOOD, AZ 86326-4751
(928) 634-1073
(928) 634-1401
Mailing address
2430 W RAY RD STE 3, CHANDLER, AZ 85224-3552
(480) 383-8599
(480) 398-1620
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
HSPC4488
AZ
251G00000X
Community Based Hospice Care Agency
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
471487
—
AZ
Enumeration date
06/23/2008
Last updated
05/16/2022
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