Organization
ARIZONA IN-HOME PARTNER-III, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS GACHASSIN III (SECRETARY)
(337) 233-1307
Entity
Organization
Contact information
Practice address
49 N CORONADO DR STE C, SIERRA VISTA, AZ 85635-6347
(520) 263-3400
(520) 263-3401
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
09/10/2019
Last updated
05/11/2021
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