Provider Demographics
NPI:1801217211
Name:ACCORD HOSPICE OF SEDONA VALLEY, LLC
Entity Type:Organization
Organization Name:ACCORD HOSPICE OF SEDONA VALLEY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:DIEDRA
Authorized Official - Middle Name:R
Authorized Official - Last Name:KEARNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-920-8875
Mailing Address - Street 1:2155 W HIGHWAY 89A STE 206
Mailing Address - Street 2:
Mailing Address - City:SEDONA
Mailing Address - State:AZ
Mailing Address - Zip Code:86336-5469
Mailing Address - Country:US
Mailing Address - Phone:928-278-4134
Mailing Address - Fax:928-278-4138
Practice Address - Street 1:2155 W HIGHWAY 89A STE 206
Practice Address - Street 2:
Practice Address - City:SEDONA
Practice Address - State:AZ
Practice Address - Zip Code:86336-5469
Practice Address - Country:US
Practice Address - Phone:928-278-4134
Practice Address - Fax:928-278-4138
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACCORD HOME HEALTH AND HOSPICE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-01-02
Last Update Date:2022-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based