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Organization
DESPAIN SENIOR CARE LLC
Active
Organization
DESPAIN SENIOR CARE LLC
Active
Other names
Home Instead Senior Care
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN DESPAIN (OWNER)
(480) 500-6550
Entity
Organization
Contact information
Practice address
17100 E SHEA BLVD STE 530, FOUNTAIN HILLS, AZ 85268-6661
(480) 500-6550
(480) 664-4295
Mailing address
17100 E SHEA BLVD STE 530, FOUNTAIN HILLS, AZ 85268-6661
(480) 500-6550
(480) 664-4295
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
AZ
253Z00000X
In Home Supportive Care Agency
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
346614
—
AZ
Enumeration date
07/05/2018
Last updated
07/05/2018
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