VILLA TEJADA LLC NPI 1386097905

NPI Information

VILLA TEJADA LLC is a hospice care community based in Mesa, AZ. VILLA TEJADA LLC NPI is 1386097905. The provider is registered as an organization entity type.
The provider Is Doing Business As Holy Cross Hospice.

The provider's business location address is:

6124 E BROWN RD
STE 101
MESA, AZ
ZIP 85205-959
Phone: (480) 718-5678
Fax: (480) 718-5697

The provider's authorized official is Eva Tejada .
The authorized official title is Cfo and has the following contact phone number (480) 262-2464.

The CLIA number assigned to this NPI record is 03D2116017 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/19/2016 and was last updated on 7/19/2016.

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:

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