Organization
LEGACY PATH HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED DFAALLA (CEO)
(602) 772-7051
Entity
Organization
Contact information
Practice address
6030 W RIVIERA DR, GLENDALE, AZ 85304-2520
(602) 772-7051
Mailing address
6030 W RIVIERA DR, GLENDALE, AZ 85304-2520
(602) 772-7051
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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