# ARIZONA PRIVATE CARE

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

## Provider details

- **NPI number:** 1619197985
- **Authorized official:** ASHLEY MARIE ANTONIELLO RN/OWNER (RN/OWNER)
- **Authorized official phone:** (980) 814-8181

## Contact information

- **Practice address:** 2659 W. GUADALUPE, SUITE 107, MESA, AZ 85202-6412
- **Practice address phone:** (480) 814-8181
- **Practice address fax:** (480) 820-4141
- **Mailing address:** 2266 S DOBSON RD, SUITE \#200, MESA, AZ 85202-6412
- **Mailing address phone:** (480) 814-8181
- **Mailing address fax:** (480) 814-8787

## Taxonomy

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

## Other

- **Enumeration date:** 04/27/2007
- **Last updated:** 12/09/2011