Organization
HOSPICE OF THE WEST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE R MOORE (CHIEF ADMINISTRATIVE OFFICER)
(857) 331-6271
Entity
Organization
Contact information
Practice address
21410 N 19TH AVE, SUITE 100, PHOENIX, AZ 85027-2738
(602) 343-6422
(602) 343-6423
Mailing address
500 FAULCONER DR STE 200, CHARLOTTESVILLE, VA 22903-5089
(434) 977-9711
(434) 235-4142
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
06/29/2010
Last updated
05/12/2025
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