NPI 1053035881

Avista Hospice Arizona, LLC

Organisation Community Based Hospice Care Agency Mesa, AZ

Practice location

Address: 2415 S Signal Butte Rd, Mesa, AZ 85209-2107
Phone: (480) 907-5588
Mailing address: 1930 N Arboleda STE 215, Mesa, AZ 85213-3217

Authorised official

Name: Candice Fine
Title: Authorized Agent
Phone: (480) 244-9173

Registered specialties

Community Based Hospice Care Agency Primary

Agencies Taxonomy 251G00000X

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Registry record

NPI: 1053035881
Entity type: Organization
NPI issued: 26 Sep 2022
Record last updated: 26 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.