Organization
TRADITIONS HOSPICE OF ARIZONA I, LLC
Active
Other names
Traditions Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY A BLAKENEY (CFO)
(979) 704-6547
Entity
Organization
Contact information
Practice address
615 W COTTONWOOD LN STE 8, CASA GRANDE, AZ 85122-2250
(520) 729-1344
(520) 723-4691
Mailing address
150 4TH AVE N STE 2300, NASHVILLE, TN 37219-2466
(979) 704-6547
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
HSPC7001
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134201
—
AZ
01
—
HSPC7001
AZDHS LICENCE
AZ
Enumeration date
02/11/2015
Last updated
09/18/2023
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