Organization
SPECTRUM HOME HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAREN TODD POVAR PT (OWNER/ADMINISTRATOR)
(480) 430-3052
Entity
Organization
Contact information
Practice address
840 W UNIVERSITY DR, SUITE #3, MESA, AZ 85201-5529
(480) 430-3052
(480) 452-1811
Mailing address
11512 E QUEENSBOROUGH AVE, MESA, AZ 85212-4091
(480) 430-3052
(480) 452-1811
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA3953
AZ
Other
Enumeration date
05/09/2006
Last updated
03/12/2009
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