Provider Demographics
NPI:1407283450
Name:HOSPICE SANCTUARY
Entity Type:Organization
Organization Name:HOSPICE SANCTUARY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BETH
Authorized Official - Middle Name:
Authorized Official - Last Name:HALE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:602-633-6100
Mailing Address - Street 1:14201 N 87TH ST # D-145A
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-3683
Mailing Address - Country:US
Mailing Address - Phone:602-633-6100
Mailing Address - Fax:602-753-9525
Practice Address - Street 1:14201 N 87TH ST # D-145A
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-3683
Practice Address - Country:US
Practice Address - Phone:602-633-6100
Practice Address - Fax:602-753-9525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-07
Last Update Date:2013-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHGSPC5232251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based