Organization
ARIZONA PREMIER HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA BONILLA (OWNER)
(623) 282-7452
Entity
Organization
Contact information
Practice address
4170 N 154TH DR, GOODYEAR, AZ 85395-6311
(623) 312-0093
Mailing address
4170 N 154TH DR, GOODYEAR, AZ 85395-6311
(623) 312-0093
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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