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Organization
BECKY HOME HEALTH CARE, LLC
Active
Organization
BECKY HOME HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHAN K AGURU MBA (CHIEF ADMINISTRATOR)
(623) 455-8777
Entity
Organization
Contact information
Practice address
16551 N DYSART RD STE 104A, SURPRISE, AZ 85378-3707
(623) 455-8777
(623) 414-3078
Mailing address
16551 N. DYSART ROAD, SUITE 104A, SURPRISE, AZ 85374
(623) 455-8777
(623) 414-3078
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
AZ
311ZA0620X
Adult Care Home Facility
—
AZ
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
AZ
343900000X
Non-emergency Medical Transport (VAN)
—
AZ
385H00000X
Respite Care
—
AZ
385HR2055X
Child Mental Illness Respite Care
—
AZ
385HR2065X
Child Physical Disabilities Respite Care
—
AZ
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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