Organization
LIBERTY HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNA BAKER (ADMINISTRATOR)
(602) 456-9993
Entity
Organization
Contact information
Practice address
11811 N TATUM BLVD STE 3031, PHOENIX, AZ 85028-1621
(602) 456-9993
(602) 456-9993
Mailing address
11811 N TATUM BLVD STE 3031, PHOENIX, AZ 85028-1621
(602) 456-9993
(602) 456-9993
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
L-1730109-0
AZ
Other
Enumeration date
06/11/2012
Last updated
04/22/2015
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