Organization
CARE LINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TITUS MWANGI (OWNER)
(858) 386-6705
Entity
Organization
Contact information
Practice address
5818 WEST PEDRO LANE, LAVEEN, AZ 85339
(858) 386-6705
Mailing address
5818 W PEDRO LN, LAVEEN, AZ 85339-5243
(858) 386-6705
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA8433
AZ
Other
Enumeration date
08/19/2017
Last updated
07/21/2022
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