# MISSION CARE FAMILY SERVICES LLC

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

## Provider details

- **NPI number:** 1326924572
- **Authorized official:** DEZARAE MALONE (OWNER)
- **Authorized official phone:** (240) 444-6427

## Contact information

- **Practice address:** 4539 N 22ND ST, PHOENIX, AZ 85016-4639
- **Practice address phone:** (520) 652-3652
- **Mailing address:** 4539 N 22ND ST, PHOENIX, AZ 85016-4639
- **Mailing address phone:** (520) 652-3652

## Taxonomy

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

## Other

- **Enumeration date:** 08/13/2025
- **Last updated:** 08/13/2025