# SHEPHERD STAFF HOME CARE LLC

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

## Provider details

- **NPI number:** 1205256468
- **Authorized official:** LAURI ERICKSON (ADMINISTRATOR)
- **Authorized official phone:** (602) 570-9614

## Contact information

- **Practice address:** 9920 S RURAL RD, SUITE 108-58, TEMPE, AZ 85284-4100
- **Practice address phone:** (602) 570-9614
- **Mailing address:** 9920 S RURAL RD, SUITE 108-58, TEMPE, AZ 85284-4100
- **Mailing address phone:** (602) 570-9614

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/25/2014
- **Last updated:** 04/25/2014