Organization
FAITHWORX COMPANION HOME CARE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMIAN HUDSON (ADMINISTRATOR)
(480) 375-1644
Entity
Organization
Contact information
Practice address
12733 W HOLLY ST, AVONDALE, AZ 85392-6416
(480) 375-1644
Mailing address
12733 W HOLLY ST, AVONDALE, AZ 85392-6416
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
03/27/2023
Last updated
06/21/2023
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