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Organization
PHILIA HOMECARE LLC
Active
Organization
PHILIA HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL DENGA (OWNER)
(602) 750-6204
Entity
Organization
Contact information
Practice address
6431 W BRANHAM LN, LAVEEN, AZ 85339-2786
(602) 750-6204
(888) 412-6713
Mailing address
6431 W BRANHAM LN, LAVEEN, AZ 85339-2786
(602) 750-6204
(888) 412-6713
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH5379
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B13912329
DRIVERS LICENSE
AZ
Enumeration date
06/19/2018
Last updated
06/11/2019
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