Organization
MY HOUSE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE FITZGERALD (OWNER)
(480) 222-4106
Entity
Organization
Contact information
Practice address
1818 E SOUTHERN AVE, SUITE 18B, MESA, AZ 85204-5228
(480) 222-4106
Mailing address
PO BOX 8998, MESA, AZ 85214-8998
(480) 222-4106
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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