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Organization
SIGNATURE HOME CARE, LLC
Active
Organization
SIGNATURE HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY LAWRENCE (ADMINISTRATOR)
(478) 607-1052
Entity
Organization
Contact information
Practice address
11775 W JOBLANCA RD, AVONDALE, AZ 85323-6241
(478) 607-1052
Mailing address
14050 W VAN BUREN ST # 154, GOODYEAR, AZ 85338-1228
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
90655
AZ
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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