# GISHEYS PATIENT CARE LLC

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

## Provider details

- **NPI number:** 1104120328
- **Authorized official:** MS. BRYANNA WOODY M.A. (MEDICAL ASSISTANT)
- **Authorized official phone:** (480) 580-8784

## Contact information

- **Practice address:** 7232 SOUTH 12TH PLACE, PHOENIZ, AZ 85042
- **Practice address phone:** (480) 580-8784
- **Practice address fax:** (602) 606-2705
- **Mailing address:** 7232 S 12TH PL, PHOENIX, AZ 85042-5683
- **Mailing address phone:** (480) 580-8784
- **Mailing address fax:** (602) 606-2705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311Z00000X | Custodial Care Facility | — | NULL | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/03/2011
- **Last updated:** 01/03/2011