Organization
TALOFA HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAERE JOUNG (OWNER)
(808) 386-8804
Entity
Organization
Contact information
Practice address
11563 W TONTO ST, AVONDALE, AZ 85323-9132
(808) 386-8804
Mailing address
11563 W TONTO ST, AVONDALE, AZ 85323-9132
(808) 386-8804
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251E00000X
Home Health Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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