Organization · NPI-2
Atlantis Home Healthcare Holding LLC
Home Health · Surprise, AZ
NPI number1811368640
StatusActive
Last updated in NPPESOct 20, 2015
Details
- NPI
- 1811368640
- Entity type
- Organization (NPI-2)
- Legal business name
- Atlantis Home Healthcare Holding LLC
- Organization subpart
- Yes
- Enumeration date
- Oct 20, 2015
- Last updated
- Oct 20, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
17126 N 134th DrSuite 3
Surprise, AZ 85378-7109
Phone 623-214-8664
Mailing address
17126 N 134th DrSuite 3
Surprise, AZ 85378-7109
Phone 623-214-8664
Authorized official
Milagrosa A Navarro
Owner
6237606539
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