Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice |
| NPI Number | 1104185214 |
| LBN Legal business name | BANNER HOME CARE-ARIZONA |
| Authorized official | JAMES COTE - (VP AMBULATORY) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 05/09/2012 |
| Last updated | 03/27/2023 - About 3 years ago |
| Identifiers | n/a |
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