Organization
MGA HOME HEALTHCARE LLC
Active
Other names
MGA Homecare
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR ROGERS (ADMINISTRATOR)
(602) 385-8733
Entity
Organization
Contact information
Practice address
7025 N SCOTTSDALE RD STE 200, SCOTTSDALE, AZ 85253-3675
(602) 385-8733
(602) 385-4930
Mailing address
7025 N SCOTTSDALE RD STE 200, SCOTTSDALE, AZ 85253-3675
(602) 385-8733
(602) 385-4930
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA3532
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118183
—
AZ
Enumeration date
07/25/2006
Last updated
02/18/2020
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