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Organization
FR5 VENTURES, LLC
Active
Organization
FR5 VENTURES, LLC
Active
Other names
HomeWell Care Services AZ276
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS FREDERICK ROTHACHER (MEMBER)
(801) 792-0008
Entity
Organization
Contact information
Practice address
20916 W THOMAS RD, BUCKEYE, AZ 85396-1643
(801) 792-0008
Mailing address
20916 W THOMAS RD, BUCKEYE, AZ 85396-1643
(801) 792-0008
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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