# MEDIPRO HEALTH SERVICES LLC

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

## Provider details

- **NPI number:** 1427409705
- **Authorized official:** MRS. TERESITA M TADAYA BS, CMA(AAMA), ALFM (ADMINISTRATIVE DIRECTOR)
- **Authorized official phone:** (623) 330-0357

## Contact information

- **Practice address:** 2659 W GUADALUPE RD, BLDG. C-116 AND 119, MESA, AZ 85202-7254
- **Practice address phone:** (623) 330-0357
- **Practice address fax:** (623) 374-2673
- **Mailing address:** 2659 W GUADALUPE RD, BLDG. C-116 AND 119, MESA, AZ 85202-7254
- **Mailing address phone:** (623) 330-0357
- **Mailing address fax:** (623) 374-2673

## Taxonomy

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

## Other

- **Enumeration date:** 06/28/2016
- **Last updated:** 06/28/2016