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Organization
ISAMBULO HOME HEALTH CARE INC
Active
Organization
ISAMBULO HOME HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN MUSAKWA (PRESIDENT/ADMIN)
(951) 966-0193
Entity
Organization
Contact information
Practice address
6024 E MCKELLIPS RD STE 1, MESA, AZ 85215-2829
(951) 966-0193
Mailing address
6024 E MCKELLIPS RD STE 1, MESA, AZ 85215-2829
(951) 966-0193
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
3747P1801X
Personal Care Attendant
—
NULL
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
05/04/2023
Last updated
12/18/2023
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