Organization
SELECT HOME CARE PHOENIX, LLC.
Active
Other names
Select Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
BRYCE J HAYS (CEO)
(480) 490-0804
Entity
Organization
Contact information
Practice address
1 N MACDONALD STE 16, MESA, AZ 85201-7340
(480) 450-0804
Mailing address
1 N MACDONALD STE 16, MESA, AZ 85201-7340
(480) 450-0804
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
385H00000X
Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
338883
—
AZ
Enumeration date
06/07/2018
Last updated
06/07/2018
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