Organization · Type 2 NPI
Grand Canyon State Health Care LLC
Community Based Hospice Care Agency · Gilbert, AZ
NPI number
1801133483
Active
Practice location
1067 S Portland Ave
Gilbert, AZ 85296-8924
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Based Hospice Care Agency Primary | 251G00000X | None listed |
Community Based Hospice Care Agency: Definition to come...
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About NPI 1801133483
Grand Canyon State Health Care LLC's National Provider Identifier is 1801133483, issued on Jan 15, 2013. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Gilbert, AZ. The record was last updated on Jan 15, 2013.