Organization
PHOENIX HOME HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBELA MENGESHA (ADMINISTRATOR)
(480) 322-0801
Entity
Organization
Contact information
Practice address
11225 N 28TH DR, PHOENIX, AZ 85029-5606
(480) 322-0801
Mailing address
11225 N 28TH DR STE D115M, PHOENIX, AZ 85029-5609
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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