Organization
FELICITY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAY JOHNSON (MEMBER)
(480) 776-6096
Entity
Organization
Contact information
Practice address
1237 S VAL VISTA DR, MESA, AZ 85204-6401
(480) 776-6096
(480) 719-4445
Mailing address
1237 S VAL VISTA DR, MESA, AZ 85204-6401
(480) 776-6096
(480) 719-4445
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
492933
—
AZ
Enumeration date
01/27/2010
Last updated
03/24/2012
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