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Organization

IN MY HOME HOSPICE CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GARY DAVIS (OWNER)
(602) 319-5223
Entity
Organization

Contact information

Practice address
1204 E BASELINE RD STE 101, TEMPE, AZ 85283-1447
(480) 590-6556
(888) 524-5507
Mailing address
1204 E BASELINE RD STE 101, TEMPE, AZ 85283-1447
(480) 590-6556
(888) 524-5507

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary

Other

Enumeration date
10/23/2020
Last updated
10/23/2020
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