Organization
MAXICARE HOME HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MUINAT A. UDOINWANG R.N. (PRESIDENT/DON)
(602) 246-1115
Entity
Organization
Contact information
Practice address
2432 W PEORIA AVE STE 1120, BLDG 5, PHOENIX, AZ 85029-4733
(602) 246-1115
(602) 246-1114
Mailing address
PO BOX 46363, PHOENIX, AZ 85063-6363
(602) 246-1115
(602) 246-1114
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA3362
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
955693
—
AZ
01
—
HHA3362
STATE OF AZ LICENSE
AZ
Enumeration date
06/19/2006
Last updated
05/05/2010
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