Basic Information
| Provider Information | |||||||||
| NPI: | 1538496450 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | VALOR HOSPICECARE LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1860 E RIVER RD | ||||||||
| Address2: | STE 200 | ||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857185965 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5206153996 | ||||||||
| FaxNumber: | 5206153998 | ||||||||
| Practice Location | |||||||||
| Address1: | 1660 S ALMA SCHOOL RD STE 117 | ||||||||
| Address2: | |||||||||
| City: | MESA | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852103071 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4808218338 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/13/2009 | ||||||||
| LastUpdateDate: | 11/13/2009 | ||||||||
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| AuthorizedOfficialLastName: | LIGHT | ||||||||
| AuthorizedOfficialFirstName: | JEAN | ||||||||
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| AuthorizedOfficialTitleorPosition: | ACCOUNTANT | ||||||||
| AuthorizedOfficialTelephone: | 5206153996 | ||||||||
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| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | VALOR HOSPICECARE LLC | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251G00000X | HSPC3739 | AZ | Y | Agencies | Hospice Care, Community Based |
No ID Information.