Organization
EVERGREEN HOSPICE AND PALLIATIVE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC ALAN BAUDER MD ABFM/GERIATRICS (CHIEF MEDICAL DIRECTOR)
(602) 218-0811
Entity
Organization
Contact information
Practice address
454 W WHITE MOUNTAIN BLVD, SUITE 7, LAKESIDE, AZ 85929-6663
(602) 549-1905
(888) 432-7480
Mailing address
PO BOX 2146, PINETOP, AZ 85935-2146
(602) 218-0811
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
AZ
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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