Organization
NURSE AT HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONDRA JEAN GROSE (ADMINISTRATOR)
(317) 236-9279
Entity
Organization
Contact information
Practice address
13300 N 88TH AVE APT 2169, PEORIA, AZ 85381-3845
(317) 236-9279
Mailing address
13300 N 88TH AVE APT 2169, PEORIA, AZ 85381-3845
(317) 236-9279
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/16/2024
Last updated
03/08/2025
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