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Organization
TATO HEALTHCARE AGENCY
Active
Organization
TATO HEALTHCARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE BROWN (CEO)
(612) 275-6493
Entity
Organization
Contact information
Practice address
12230 W FLANAGAN ST, AVONDALE, AZ 85323-8122
(480) 560-1930
Mailing address
12230 W FLANAGAN ST, AVONDALE, AZ 85323-8122
(480) 560-1930
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
—
—
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251F00000X
Home Infusion Agency
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
310400000X
Assisted Living Facility
—
—
315D00000X
Inpatient Hospice
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
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