Provider Demographics
NPI:1184136574
Name:LA PAZ HOSPICE INC
Entity type:Organization
Organization Name:LA PAZ HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:K
Authorized Official - Last Name:STARRS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-215-6706
Mailing Address - Street 1:1411 ROCK TER STE B
Mailing Address - Street 2:
Mailing Address - City:ALPINE
Mailing Address - State:CA
Mailing Address - Zip Code:91901-2295
Mailing Address - Country:US
Mailing Address - Phone:480-215-6706
Mailing Address - Fax:760-412-5575
Practice Address - Street 1:1411 ROCK TER STE B
Practice Address - Street 2:
Practice Address - City:ALPINE
Practice Address - State:CA
Practice Address - Zip Code:91901-2295
Practice Address - Country:US
Practice Address - Phone:480-215-6706
Practice Address - Fax:760-412-5575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-25
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based