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Organization

BYKOTA 2 LLC

Active
Other names
Visiting Angels of Northern Arizona
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHRIS MARK SMITH (DIRECTOR)
(928) 220-4100
Entity
Organization

Contact information

Practice address
718 N HUMPHREYS ST STE 201, FLAGSTAFF, AZ 86001-3014
(928) 220-4100
Mailing address
718 N HUMPHREYS ST STE 201, FLAGSTAFF, AZ 86001-3014
(928) 220-4100

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
04G554
CO

Other

Enumeration date
03/23/2018
Last updated
03/23/2018
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