Organization
WESTCHESTER TBI HOME CARE LLC
Active
Other names
Tempe TBI Home Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SOPHIA SAMANTHA QENDRO (MANAGER/OWNER)
(480) 275-2221
Entity
Organization
Contact information
Practice address
1046 E WESTCHESTER DR, TEMPE, AZ 85283-3039
(480) 275-2221
(480) 361-6471
Mailing address
1046 E WESTCHESTER DR, TEMPE, AZ 85283-3039
(480) 275-2221
(480) 361-6471
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
AL9833H
AZ
Other
Enumeration date
12/25/2015
Last updated
12/25/2015
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