Organization
HOSPICE OF ARIZONA, LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICH FOGLE (CFO)
(904) 493-6745
Entity
Organization
Contact information
Practice address
19820 N 7TH AVE, SUITE 130, PHOENIX, AZ 85027-4736
(602) 678-1313
(602) 242-2178
Mailing address
50 N LAURA ST, SUITE 1800, JACKSONVILLE, FL 32202-3664
(904) 493-6745
(904) 262-4804
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
HSPC0050
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193475
—
AZ
Enumeration date
08/07/2006
Last updated
09/13/2012
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