# IMANI HOME CARE LIVING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** IMANI HOME CARE LIVING LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700401957
- **Authorized official:** PATRICK MASOYA (MANAGING PARTNER)
- **Authorized official phone:** (480) 276-8277

## Contact information

- **Practice address:** 8539 W HAZELWOOD ST, PHOENIX, AZ 85037-1534
- **Practice address phone:** (480) 276-8277
- **Practice address fax:** (866) 837-9226
- **Mailing address:** 4425 W OLIVE AVE STE 144, GLENDALE, AZ 85302-3844
- **Mailing address phone:** (623) 230-2464

## Taxonomy

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

## Other

- **Enumeration date:** 06/13/2020
- **Last updated:** 09/11/2023