# CHR MOBILE WOUND CARE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1689496622
- **Authorized official:** SHIRLEY T BAKER (CREDENTIALING)
- **Authorized official phone:** (602) 380-9644

## Contact information

- **Practice address:** 7116 N 73RD DR, GLENDALE, AZ 85303-2569
- **Practice address phone:** (860) 806-0653
- **Mailing address:** 7116 N 73RD DR, GLENDALE, AZ 85303-2569
- **Mailing address phone:** (860) 806-0653

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/30/2024
- **Last updated:** 04/23/2026