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Organization
SAGUARO CARE LLC
Active
Organization
SAGUARO CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD CLARK (OWNER)
(503) 580-6378
Entity
Organization
Contact information
Practice address
11201 N TATUM BLVD STE 315, PHOENIX, AZ 85028-6039
(602) 313-3991
Mailing address
10645 N TATUM BLVD., STE. 200. #509, PHOENIX, AZ 85028
(503) 580-6378
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
08/21/2023
Last updated
12/27/2023
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