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Organization
AMYST HEALTHCARE INC
Active
Organization
AMYST HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWIGHT CLARK (CEO)
(602) 887-9886
Entity
Organization
Contact information
Practice address
10621 S 51ST ST STE 103, PHOENIX, AZ 85044-5207
(602) 887-9886
(602) 887-4975
Mailing address
10621 S 51ST ST STE 103, PHOENIX, AZ 85044-5207
(602) 887-9886
(602) 887-4975
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
163WH0200X
Home Health Registered Nurse
—
NULL
163WH0200X
Home Health Registered Nurse
—
—
224Z00000X
Occupational Therapy Assistant
—
NULL
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
251E00000X
Home Health Agency
Primary
—
NULL
374U00000X
Home Health Aide
—
NULL
374U00000X
Home Health Aide
—
—
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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