Organization
TENDER HEART HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAY JOHNSON (DIRECTOR)
(480) 719-4444
Entity
Organization
Contact information
Practice address
2733 N POWER RD, #102-453, MESA, AZ 85215-1682
(480) 719-4444
(480) 719-4445
Mailing address
2733 N POWER RD, #102-453, MESA, AZ 85215-1682
(480) 719-4444
(480) 719-4445
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
689046
—
AZ
Enumeration date
09/25/2012
Last updated
10/04/2012
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