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Organization
AMYST HEALTHCARE INC
Active
Organization
AMYST HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DWIGHT CLARK (CEO)
(602) 887-9886
Entity
Organization
Contact information
Practice address
10621 S 51ST ST STE 103, PHOENIX, AZ 85044-5207
(602) 887-9886
Mailing address
10621 S 51ST ST STE 103, PHOENIX, AZ 85044-5207
(602) 887-9886
(602) 887-4975
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
NULL
251F00000X
Home Infusion Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
385H00000X
Respite Care
—
NULL
Other
Enumeration date
12/07/2023
Last updated
05/01/2026
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