Organization · NPI-2

Amedisys Arizona, L.L.C.

Home Health · Surprise, AZ

NPI number1114000460
StatusActive
Last updated in NPPESAug 26, 2013

Details

NPI
1114000460
Entity type
Organization (NPI-2)
Legal business name
Amedisys Arizona, L.L.C.
Organization subpart
No
Enumeration date
Oct 23, 2006
Last updated
Aug 26, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home HealthHHA4087AZYes

Other names

  • Amedisys Home Health (Doing Business As)

Practice location

14239 W Bell Rd
Suite 219
Surprise, AZ 85374-2469

Phone 623-974-7810 · Fax 623-875-6494

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038

Phone 225-292-2031 · Fax 225-295-9678

Authorized official

William F Borne
Ceo
2252922031

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