Organization
IMAGINE CARE LLC
Active
Organization
IMAGINE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW STARCK (CEO)
(602) 456-2936
Entity
Organization
Contact information
Practice address
11811 N TATUM BLVD STE 3031, PHOENIX, AZ 85028-1621
(602) 456-2936
Mailing address
11811 N TATUM BLVD STE 3031, PHOENIX, AZ 85028-1621
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
06/27/2019
Last updated
12/13/2022
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