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Organization
PRIVATE SUITE HOME CARE AGENCY, LLC
Active
Organization
PRIVATE SUITE HOME CARE AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NADINE LOLLIE REGISTERED NURSE (CEO/FOUNDER)
(248) 894-4039
Entity
Organization
Contact information
Practice address
15263 S 14TH PL, PHOENIX, AZ 85048-6260
(248) 894-4039
Mailing address
15263 S 14TH PL, PHOENIX, AZ 85048-6260
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
AZ
385H00000X
Respite Care
—
—
Other
Enumeration date
09/12/2017
Last updated
09/12/2017
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