Provider Demographics
NPI:1093137671
Name:PALLIATIVE CARE ALLIANCE, LLC
Entity Type:Organization
Organization Name:PALLIATIVE CARE ALLIANCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:BOLLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-269-6011
Mailing Address - Street 1:60 E RIO SALADO PKWY STE 900
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85281-9126
Mailing Address - Country:US
Mailing Address - Phone:602-269-6011
Mailing Address - Fax:602-926-2551
Practice Address - Street 1:60 E RIO SALADO PKWY STE 900
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85281
Practice Address - Country:US
Practice Address - Phone:602-269-6011
Practice Address - Fax:602-926-2551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-15
Last Update Date:2018-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health