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Organization
ABIST HOME HEALTHCARE
Active
Organization
ABIST HOME HEALTHCARE
Active
Other names
Abist Home Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
STAVONNE SANDERS (OWNER)
(162) 322-1609
Entity
Organization
Contact information
Practice address
6342 W VALENCIA DR, LAVEEN, AZ 85339-2775
(162) 322-1609
Mailing address
6342 W VALENCIA DR, LAVEEN, AZ 85339-2775
(162) 322-1609
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
385H00000X
Respite Care
—
NULL
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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