Organization
RESILIENT HOMECARE AND GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI SHABAZZ (OWNER/ MANAGER)
(602) 405-9011
Entity
Organization
Contact information
Practice address
1505 E SAHUARO DR APT 4, PHOENIX, AZ 85020-1456
(602) 405-9011
Mailing address
1505 E SAHUARO DR APT 4, PHOENIX, AZ 85020-1456
(602) 405-9011
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/25/2020
Last updated
07/25/2024
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