Organization
WESTCHESTER TBI HOME CARE LLC
Active
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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