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Organization
CHERISHED MOMENTS HOME CARE SERVICES LLC
Active
Organization
CHERISHED MOMENTS HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
D'AMITRA S MARSHALL (OWNER)
(559) 213-0468
Entity
Organization
Contact information
Practice address
13621 W GLENDALE AVE, UNIT 1126, GLENDALE, AZ 85307
(559) 213-0468
Mailing address
4350 W CAMELBACK RD # 1038, GLENDALE, AZ 85301-7606
(559) 213-0468
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
332U00000X
Home Delivered Meals
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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