# ETERNITY HOME HEALTH CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eternity Home Health Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699377549
- **Authorized official:** AMABEL BONGOYAN RN (RN)
- **Authorized official phone:** (602) 374-6878

## Contact information

- **Practice address:** 4140 N 108TH AVE STE 101C, PHOENIX, AZ 85037-5466
- **Practice address phone:** (623) 203-3139
- **Practice address fax:** (888) 778-1251
- **Mailing address:** 4140 N 108TH AVE STE 101C, PHOENIX, AZ 85037-5466
- **Mailing address phone:** (602) 675-2556
- **Mailing address fax:** (888) 778-1251

## Taxonomy

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

## Other

- **Enumeration date:** 11/14/2020
- **Last updated:** 12/01/2023