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Organization

AMHA HOSPICE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAI SHANNON (CEO)
(480) 359-3998
Entity
Organization

Contact information

Practice address
2577 W QUEEN CREEK RD STE 200A, CHANDLER, AZ 85248-0913
(480) 359-3998
(480) 385-6785
Mailing address
2577 W QUEEN CREEK RD STE 200A, CHANDLER, AZ 85248-0913
(480) 359-3998
(480) 385-6785

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
032584
AZ
01
HSPC6237
AZ DEPARTMENT OF HEALTH
AZ
Enumeration date
01/16/2014
Last updated
10/20/2023
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