Provider Demographics
NPI:1619416864
Name:ARROYO HEALTH HOSPICE LLC
Entity Type:Organization
Organization Name:ARROYO HEALTH HOSPICE LLC
Other - Org Name:ARROYO HEALTH HOSPICE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LORENE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARDELEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-410-5171
Mailing Address - Street 1:19820 N 7TH ST STE 210
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85024-1694
Mailing Address - Country:US
Mailing Address - Phone:623-233-6461
Mailing Address - Fax:602-753-9525
Practice Address - Street 1:19820 N 7TH ST STE 210
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85024-1694
Practice Address - Country:US
Practice Address - Phone:623-233-6461
Practice Address - Fax:602-753-9525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-21
Last Update Date:2020-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based