Provider Demographics
NPI:1881215945
Name:VALLEY CARE HOSPICE INC
Entity Type:Organization
Organization Name:VALLEY CARE HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAI
Authorized Official - Middle Name:
Authorized Official - Last Name:SHANNON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-359-3998
Mailing Address - Street 1:2577 W QUEEN CREEK RD STE 200B
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85248-0913
Mailing Address - Country:US
Mailing Address - Phone:480-359-3998
Mailing Address - Fax:803-856-7854
Practice Address - Street 1:2577 W QUEEN CREEK RD STE 200B
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85248-0913
Practice Address - Country:US
Practice Address - Phone:480-359-3998
Practice Address - Fax:803-856-7854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-29
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based