# CACTUS WREN ASSISTED HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cactus Wren Assisted Home Care II
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518038520
- **Authorized official:** MISS SHIRLETA CANOY SODEN R.N. (OWNER)
- **Authorized official phone:** (602) 741-5526

## Contact information

- **Practice address:** 6313 N 40TH DRIVE, PHOENIX, AZ 85019-1427
- **Practice address phone:** (602) 741-5523
- **Mailing address:** 6313 N 40TH DR, PHOENIX, AZ 85019-1427
- **Mailing address phone:** (602) 741-5523

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | ALH-5184 | AZ | Yes |
| 311ZA0620X | Adult Care Home Facility | ALH-5818 | AZ | — |

## Other

- **Enumeration date:** 11/13/2006
- **Last updated:** 08/22/2020