Organization · NPI-2
2nd Home Skilled Care Services Arizona LLC
Home Health · Phoenix, AZ
NPI number1346060456
StatusActive
Last updated in NPPESOct 14, 2024
Details
- NPI
- 1346060456
- Entity type
- Organization (NPI-2)
- Legal business name
- 2nd Home Skilled Care Services Arizona LLC
- Organization subpart
- No
- Enumeration date
- Oct 14, 2024
- Certification date
- Oct 14, 2024
- Last updated
- Oct 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
2325 E Camelback Rd Ste 476Phoenix, AZ 85016-3422
Phone 303-999-7763
Mailing address
3131 S Vaughn Way Ste 600Aurora, CO 80014-3508
Phone 303-999-7763
Authorized official
Haneen M Omar
Ceo
3039997763
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