Organization
AFFECTIONATE CARE SERVICES
Active
Other names
Affectionate Transportation
Organization subpart
No
Provider details
NPI number
Authorized official
MARLEANA IVANOV (OWNER)
(623) 300-8593
Entity
Organization
Contact information
Practice address
64 W SUN RAY DR, SAN TAN VALLEY, AZ 85143-4391
(623) 300-8593
Mailing address
64 W SUN RAY DR, SAN TAN VALLEY, AZ 85143-4391
(623) 300-8593
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9212244052
STATE
AZ
Enumeration date
12/06/2022
Last updated
12/06/2022
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