Organization · Type 2 NPI

Archie Hendricks Sr. Skilled Nursing Fascility

Community Based Hospice Care Agency · Sells, AZ

NPI number 1093838658 Active

Practice location

Federal Route 15 Mile Post 9
Sells, AZ 85634-9744

Call (520) 585-5500 Map

Fax (520) 585-5510

Mailing address

HC 1 Box 9100
Sells, AZ 85634-9744

Specialties and licenses

Taxonomy	Code	License
Community Based Hospice Care Agency Primary	251G00000X	None listed

Community Based Hospice Care Agency: Definition to come...

Other community based hospice care agency providers in Sells

Archie Hendricks SR Skilled Nursing FacilityCommunity Based Hospice Care Agency Sells, AZ NPI 1962653535

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NPI record

NPI: 1093838658
Entity type: Organization (Type 2)
Issued: Apr 9, 2007
Last updated: Sep 25, 2024
Status: Active
Subpart: Yes of Archie Hendricks Sr. Skilled Nursing Facility

Other names

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Tohono O'Odham Hospice · doing business as

Authorized official

Mr. Ross Wilkoff
Administrator
(520) 585-5500

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1093838658

Archie Hendricks Sr. Skilled Nursing Fascility's National Provider Identifier is 1093838658, issued on Apr 9, 2007. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Sells, AZ. The record was last updated on Sep 25, 2024.