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Organization
SOUTHWEST INDEPENDENCE, L.L.C.
Active
Organization
SOUTHWEST INDEPENDENCE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER S. FARMER (OWNER)
(623) 344-0399
Entity
Organization
Contact information
Practice address
22239 N 17TH PL, PHOENIX, AZ 85024-5615
(623) 344-0399
(623) 218-9095
Mailing address
22239 N 17TH PL, PHOENIX, AZ 85024-5615
(623) 334-0399
(623) 218-9095
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
NA
AZ
Other
Enumeration date
01/07/2011
Last updated
01/07/2011
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