Organization
DESERT RIDGE HOSPICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANTE BAUTISTA (OWNER)
(480) 805-8853
Entity
Organization
Contact information
Practice address
2266 S DOBSON RD STE 221, MESA, AZ 85202-6488
(480) 805-8853
(480) 805-9009
Mailing address
2266 S DOBSON RD STE 221, MESA, AZ 85202-6488
(480) 805-8853
(480) 805-9009
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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