Organization
CHOICE HOME HEATH AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLASIOUS MABODO MASHATISA (CEO)
(480) 273-9889
Entity
Organization
Contact information
Practice address
14040 N CAVE CREEK RD STE 101D, PHOENIX, AZ 85022-6118
(480) 273-9889
(480) 626-0630
Mailing address
10357 W HARMONY LN, PEORIA, AZ 85382-5901
(480) 273-9889
(480) 626-0630
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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