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Organization
DELISSIA C LEIVAS LLC
Active
Organization
DELISSIA C LEIVAS LLC
Active
Other names
Delissia C Leivas Home Healthcare LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DELISSIA C LEIVAS (OWNER)
(928) 382-7603
Entity
Organization
Contact information
Practice address
30631 BLUEWATER DR, PARKER, AZ 85344-7509
(928) 382-7603
Mailing address
30631 BLUEWATER DR, PARKER, AZ 85344-7509
(928) 382-7603
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
374U00000X
Home Health Aide
—
NULL
374U00000X
Home Health Aide
—
—
385H00000X
Respite Care
—
NULL
Other
Enumeration date
07/03/2022
Last updated
07/03/2022
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