Provider Demographics
NPI:1104422781
Name:AMADEO HOSPICE INC
Entity type:Organization
Organization Name:AMADEO HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LIEZEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-742-0373
Mailing Address - Street 1:16042 N 32ND ST STE C4C
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-0027
Mailing Address - Country:US
Mailing Address - Phone:602-742-0373
Mailing Address - Fax:480-680-1079
Practice Address - Street 1:16042 N 32ND ST STE C4C
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-0027
Practice Address - Country:US
Practice Address - Phone:602-742-0373
Practice Address - Fax:480-680-1079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-08
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based