Organization
AT HEART HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL TRUJILLO CORONADO (GENERAL PARTNER)
(619) 654-6921
Entity
Organization
Contact information
Practice address
14050 N 83RD AVE, SUITE 290, PEORIA, AZ 85381-5638
(619) 654-6921
(623) 561-1359
Mailing address
14050 N 83RD AVE, SUITE 290, PEORIA, AZ 85381-5638
(619) 654-6921
(623) 561-1359
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
619433
AZ
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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