Organization
EVERGREEN HOSPICE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYNE BAYA (ADMINISTRATOR)
(480) 878-8918
Entity
Organization
Contact information
Practice address
1930 S ALMA SCHOOL RD STE C104, MESA, AZ 85210-3067
(480) 845-8182
(480) 590-0653
Mailing address
1930 S ALMA SCHOOL RD STE C104, MESA, AZ 85210-3067
(480) 845-8182
(480) 590-0653
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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