Provider Demographics
NPI:1538496450
Name:VALOR HOSPICECARE LLC
Entity Type:Organization
Organization Name:VALOR HOSPICECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTANT
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-615-3996
Mailing Address - Street 1:1860 E RIVER RD
Mailing Address - Street 2:STE 200
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-5965
Mailing Address - Country:US
Mailing Address - Phone:520-615-3996
Mailing Address - Fax:520-615-3998
Practice Address - Street 1:1660 S ALMA SCHOOL RD STE 117
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-3071
Practice Address - Country:US
Practice Address - Phone:480-821-8338
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VALOR HOSPICECARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-11-13
Last Update Date:2009-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHSPC3739251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based