Provider Demographics
NPI:1891684809
Name:STILLWATER HOSPICE TUCSON LLC
Entity type:Organization
Organization Name:STILLWATER HOSPICE TUCSON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:AMMON
Authorized Official - Middle Name:
Authorized Official - Last Name:WOLFLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-573-9890
Mailing Address - Street 1:6760 N ORACLE RD
Mailing Address - Street 2:SUITE 130, 1ST FLOOR, OFFICE 126
Mailing Address - City:TUSCON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-5606
Mailing Address - Country:US
Mailing Address - Phone:602-573-9890
Mailing Address - Fax:
Practice Address - Street 1:6760 N ORACLE RD
Practice Address - Street 2:SUITE 130, 1ST FLOOR, OFFICE 126
Practice Address - City:TUSCON
Practice Address - State:AZ
Practice Address - Zip Code:85704-5606
Practice Address - Country:US
Practice Address - Phone:602-573-9890
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based