CHARLES WM. LEIGHTON JR HOSPICE INC. NPI 1366440083

NPI Information

CHARLES WM. LEIGHTON JR HOSPICE, INC. is a hospice care community based in Willcox, AZ. CHARLES WM. LEIGHTON JR HOSPICE, INC. NPI is 1366440083. The provider is registered as an organization entity type.
The provider Other Name Is Charles Wm. Leighton Hospice, Inc..

The provider's business location address is:

524 WEST MALEY PLACE
WILLCOX, AZ
ZIP 85643
Phone: (520) 384-5878
Fax: (520) 384-4127

The provider's authorized official is Gordon D Douglas .
The authorized official title is Administrator and has the following contact phone number (520) 384-5878.

The CLIA number assigned to this NPI record is 03D0987380 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2005 and was last updated on 12/28/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.