Organization
NOMADIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIWALI GELLE (CEO)
(602) 802-9437
Entity
Organization
Contact information
Practice address
2406 S 24TH ST STE E107, PHOENIX, AZ 85034-6858
(602) 802-9437
Mailing address
2406 S 24TH ST STE E107, PHOENIX, AZ 85034-6858
(602) 802-9437
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085778
AHCCCS
—
Enumeration date
10/17/2018
Last updated
10/17/2018
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