Organization
LIBERTY HOSPICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNA BAKER (ADMINISTRATOR)
(602) 456-9993
Entity
Organization
Contact information
Practice address
11811 N TATUM BLVD STE 3031, PHOENIX, AZ 85028-1621
(602) 456-9993
(602) 456-9993
Mailing address
11811 N TATUM BLVD, SUITE 3031, PHOENIX, AZ 85028-1614
(602) 456-9993
(602) 456-9993
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
HSPC7062
AZ
Other
Enumeration date
01/20/2012
Last updated
04/28/2015
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