Organization
WINTERHAVEN HOSPICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NOEL SULLIVAN (CEO)
(424) 634-2915
Entity
Organization
Contact information
Practice address
1265 GAIL GARDNER WAY STE B, PRESCOTT, AZ 86305-3425
(928) 459-2235
(928) 459-2234
Mailing address
1265 GAIL GARDNER WAY STE B, PRESCOTT, AZ 86305-3425
(928) 459-2235
(928) 459-2234
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
03/21/2022
Last updated
07/15/2022
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