Organization
NAE-GBIYEA HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLANDO BOLUE (AMBR)
(443) 894-4336
Entity
Organization
Contact information
Practice address
8802 W ADAMS ST, TOLLESON, AZ 85353-1349
(443) 894-4336
Mailing address
8802 W ADAMS ST, TOLLESON, AZ 85353-1349
(443) 894-4336
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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