Organization
INNOVATIVE HOME HEALTH CARE INC
Active
Other names
Innovative Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
DALE NORMAN SKURDAHL (CHIEF OPERATING OFFICER-M.S.)
(602) 243-4231
Entity
Organization
Contact information
Practice address
2601 E THOMAS RD, PHOENIX, AZ 85016-8221
(602) 305-9500
(602) 305-9501
Mailing address
1402 E SOUTH MOUNTAIN AVE, PHOENIX, AZ 85042-7925
(602) 243-4231
(602) 323-5988
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA3379
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
818552
—
AZ
01
—
HHA3379
AZ DEPARTMENT OF HEALTH SERVICES
AZ
Enumeration date
06/24/2008
Last updated
06/24/2008
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