Organization
FR5 VENTURES, LLC
Active
Other names
HomeWell Care Services AZ276
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS FREDERICK ROTHACHER (MEMBER)
(801) 792-0008
Entity
Organization
Contact information
Practice address
20916 W THOMAS RD, BUCKEYE, AZ 85396-1643
(801) 792-0008
Mailing address
20916 W THOMAS RD, BUCKEYE, AZ 85396-1643
(801) 792-0008
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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