Organization
ALL VALLEY NURSING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRELL DIERKS RN (DIRECTOR OF NURSING)
(623) 889-5308
Entity
Organization
Contact information
Practice address
4531 N 16TH ST, SUITE 114, PHOENIX, AZ 85016-5322
(602) 889-5308
Mailing address
7227 N 16TH ST, SUITE 125, PHOENIX, AZ 85020-5251
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA 4744
AZ
Other
Enumeration date
06/09/2010
Last updated
07/19/2010
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