Organization
NORTHSTAR HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HASSAN MOHAMEED ABDELRAHMAN (OWNER)
(480) 329-8784
Entity
Organization
Contact information
Practice address
750 W BASELINE RD, TEMPE, AZ 85283-5903
(480) 329-8784
Mailing address
750 W BASELINE RD, TEMPE, AZ 85283
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
565310
AZ
Other
Enumeration date
04/03/2013
Last updated
04/03/2013
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