Organization
2ND HOME SKILLED CARE SERVICES ARIZONA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANEEN M OMAR (CEO)
(303) 999-7763
Entity
Organization
Contact information
Practice address
2325 E CAMELBACK RD STE 476, PHOENIX, AZ 85016-3422
(303) 999-7763
Mailing address
3131 S VAUGHN WAY STE 600, AURORA, CO 80014-3508
(303) 999-7763
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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