Organization · NPI-2

At Heart Home Care

Home Health · Peoria, AZ

NPI number1205375854
StatusActive
Last updated in NPPESFeb 15, 2017

Details

NPI
1205375854
Entity type
Organization (NPI-2)
Legal business name
At Heart Home Care
Organization subpart
No
Enumeration date
Feb 15, 2017
Last updated
Feb 15, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health619433AZYes

Practice location

14050 N 83rd Ave
Suite 290
Peoria, AZ 85381-5638

Phone 619-654-6921 · Fax 623-561-1359

Mailing address

14050 N 83rd Ave
Suite 290
Peoria, AZ 85381-5638

Phone 619-654-6921 · Fax 623-561-1359

Authorized official

Daniel Trujillo Coronado
General Partner
6196546921

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