Organization
AT HOME MEDICAL SERVICES AND PALLIATIVE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LAETHEM (COO)
(989) 964-9770
Entity
Organization
Contact information
Practice address
15551 N GREENWAY HAYDEN LOOP, SUITE 155, SCOTTSDALE, AZ 85260-1210
(989) 964-9770
Mailing address
15551 N GREENWAY HAYDEN LOOP, SUITE 155, SCOTTSDALE, AZ 85260-1210
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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