NPI 1104185214
Banner Home Care-Arizona
Practice location
- Address
- 2001 Gillam Way, Fairbanks, AK 99701-6026
- Phone
- (907) 458-3090
- Mailing address
- 2901 N Central Ave STE 160, Phoenix, AZ 85012-2702
Authorised official
- Name
- James Cote
- Title
- Vp Ambulatory
- Phone
- (602) 747-4000
Registered specialties
Community Based Hospice Care Agency
Primary
Registry record
- NPI
- 1104185214
- Entity type
- Organization
- NPI issued
- 9 May 2012
- Record last updated
- 27 Mar 2023
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.