Organization
ELEMENTS OF ELDER CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAY PARK (STATUTORY AGENT)
(602) 641-9505
Entity
Organization
Contact information
Practice address
2990 E NORTHERN AVE STE C103, PHOENIX, AZ 85028-4839
(602) 641-9505
Mailing address
2990 E NORTHERN AVE STE C103, PHOENIX, AZ 85028-4839
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
04/09/2020
Last updated
07/14/2022
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