Organization
PRISTINE HOSPICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESITA P ISIDERIO (ADMINISTRATOR)
(480) 343-8045
Entity
Organization
Contact information
Practice address
8607 N 59TH AVE STE A1, GLENDALE, AZ 85302-5434
(480) 343-8045
Mailing address
8607 N 59TH AVE STE A1, GLENDALE, AZ 85302-5434
(480) 343-8045
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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