Organization
LIVING WATERS HOSPICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY DENHAM MSW (VICE PRESIDENT)
(928) 565-9000
Entity
Organization
Contact information
Practice address
3711 US HIGHWAY 68, GOLDEN VALLEY, AZ 86413-7522
(928) 565-9000
(928) 565-9001
Mailing address
4195 HIGHWAY 68,, C-902, GOLDEN VALLEY, AZ 86413
(928) 565-9000
(928) 565-9001
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
04/27/2012
Last updated
03/26/2013
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