Organization
SUNSTATE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUVENAL JARRETT JR. (CEO)
(602) 550-5602
Entity
Organization
Contact information
Practice address
5054 N 146TH DR, LITCHFIELD PARK, AZ 85340-2833
(602) 550-5602
Mailing address
3502 E SALTSAGE DR, PHOENIX, AZ 85048-7858
(602) 550-5602
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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