# MGA HOME HEALTHCARE WASHINGTON LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MGA Homecare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366114233
- **Authorized official:** ANTHONY VENZOR (AREA VICE PRESIDENT)
- **Authorized official phone:** (425) 321-5742

## Contact information

- **Practice address:** 19401 40TH AVE W STE 312, LYNNWOOD, WA 98036-5600
- **Practice address phone:** (425) 321-5742
- **Practice address fax:** (425) 264-8115
- **Mailing address:** 7025 N SCOTTSDALE RD STE 200, SCOTTSDALE, AZ 85253-3675

## Taxonomy

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

## Other

- **Enumeration date:** 09/29/2021
- **Last updated:** 04/22/2022
