Organization
DYNA CARE ARIZONA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABITURAB BOXWALLA (PRESIDENT)
(708) 560-2925
Entity
Organization
Contact information
Practice address
5800 W GLENN DR, SUITE 320, GLENDALE, AZ 85301-2468
(623) 847-9900
(623) 847-1188
Mailing address
1201 S ALMA SCHOOL RD, SUITE 7550, MESA, AZ 85210-2008
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA3390
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
826878
—
AZ
Enumeration date
12/26/2006
Last updated
08/22/2020
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