Organization · Type 2 NPI

Banner Home Care-Arizona

Community Based Hospice Care Agency · Fairbanks, AK

NPI number 1104185214 Active

Practice location

2001 Gillam Way
Fairbanks, AK 99701-6026

Mailing address

2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702

Specialties and licenses

TaxonomyCodeLicense
Community Based Hospice Care Agency Primary 251G00000XNone listed

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

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About NPI 1104185214

Banner Home Care-Arizona's National Provider Identifier is 1104185214, issued on May 9, 2012. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Fairbanks, AK. The record was last updated on Mar 27, 2023.