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Contact Information

CHARLES WM. LEIGHTON JR HOSPICE, INC.
524 WEST MALEY PLACE
WILLCOX, AZ85643
 Phone: 520-384-5878
 Fax: 520-384-4127
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice Care, Community Based

251G00000X B4[14] Hospice
Indicates primary specialty

NPI Profile & details for CHARLES WM. LEIGHTON JR HOSPICE, INC.

NPI Number 1366440083
LBN Legal business name CHARLES WM. LEIGHTON JR HOSPICE, INC.
Authorized official GORDON DOUGLAS - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/07/2005
Last updated 12/28/2021 - About 4 years ago
Identifiers
AZ License # HSPC-2902
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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