Organization
IMPERIAL HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONAVENTURE NGWA (OWNER)
(602) 727-9750
Entity
Organization
Contact information
Practice address
20662 N SCOLA ST, MARICOPA, AZ 85138-7320
(602) 727-9750
Mailing address
20662 N SCOLA ST, MARICOPA, AZ 85138-7320
(602) 727-9750
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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