# TRU EAST DIGNITY HOMECARE CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043780083
- **Authorized official:** MR. JIMMY LEE ELLIS (PRESIDENT)
- **Authorized official phone:** (480) 487-8480

## Contact information

- **Practice address:** 105 N LINKS DR APT 1061, AVONDALE, AZ 85323-3046
- **Practice address phone:** (480) 487-8480
- **Practice address fax:** (602) 595-9977
- **Mailing address:** 3420 E SHEA BLVD STE 200, PHOENIX, AZ 85028-3348
- **Mailing address phone:** (029) 535-3766
- **Mailing address fax:** (602) 595-9977

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 372600000X | Adult Companion | — | NULL | Yes |
| 372600000X | Adult Companion | — | — | Yes |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |
| 376J00000X | Homemaker | — | NULL | — |
| 376J00000X | Homemaker | — | — | — |

## Other

- **Enumeration date:** 12/03/2018
- **Last updated:** 01/05/2019