# AT HEART HOME CARE

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

## Provider details

- **NPI number:** 1205375854
- **Authorized official:** MR. DANIEL TRUJILLO CORONADO (GENERAL PARTNER)
- **Authorized official phone:** (619) 654-6921

## Contact information

- **Practice address:** 14050 N 83RD AVE, SUITE 290, PEORIA, AZ 85381-5638
- **Practice address phone:** (619) 654-6921
- **Practice address fax:** (623) 561-1359
- **Mailing address:** 14050 N 83RD AVE, SUITE 290, PEORIA, AZ 85381-5638
- **Mailing address phone:** (619) 654-6921
- **Mailing address fax:** (623) 561-1359

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 619433 | AZ | Yes |

## Other

- **Enumeration date:** 02/15/2017
- **Last updated:** 02/15/2017