Organization · NPI-2

Caring Four Generations, LLC

Home Health · Phoenix, AZ

NPI number1952761561
StatusActive
Last updated in NPPESFeb 25, 2016

Details

NPI
1952761561
Entity type
Organization (NPI-2)
Legal business name
Caring Four Generations, LLC
Organization subpart
No
Enumeration date
Feb 25, 2016
Last updated
Feb 25, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes
251J00000X Nursing Care––

Practice location

5028 N 39th Ave
Phoenix, AZ 85019-2508

Phone 602-510-3571

Mailing address

5028 N 39th Ave
Phoenix, AZ 85019-2508

Authorized official

Walesca I Santiago
Manager
6025103571

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