Provider Demographics
NPI:1477810414
Name:ACCEPTANCE HOSPICE AND PALLIATIVE CARE INC
Entity type:Organization
Organization Name:ACCEPTANCE HOSPICE AND PALLIATIVE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ZOSIMA
Authorized Official - Middle Name:ABIVA
Authorized Official - Last Name:VICTUELLES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:630-890-7530
Mailing Address - Street 1:250 N LITCHFIELD RD STE 202
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-1378
Mailing Address - Country:US
Mailing Address - Phone:623-687-5547
Mailing Address - Fax:480-383-6139
Practice Address - Street 1:250 N LITCHFIELD RD STE 202
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338-1378
Practice Address - Country:US
Practice Address - Phone:623-687-5547
Practice Address - Fax:480-383-6139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-16
Last Update Date:2012-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ251G00000X251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based