Organization
GRACE HOME CARE ARIZONA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMUD MOHAMUD (OWNER)
(280) 210-9797
Entity
Organization
Contact information
Practice address
11240 N 19TH AVE STE 22-1038, PHOENIX, AZ 85029-4825
(480) 210-9797
Mailing address
11240 N 19TH AVE STE 22-1038, PHOENIX, AZ 85029-4825
(480) 210-9797
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/15/2025
Last updated
12/15/2025
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