Organization
MY HOME HEALTHCARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSALYN YOUNG (CEO/ADMINISTRATOR)
(026) 666-0202
Entity
Organization
Contact information
Practice address
19532 N 27TH PL, PHOENIX, AZ 85050-1308
(602) 666-0202
(602) 844-5455
Mailing address
19532 N 27TH PL, PHOENIX, AZ 85050-1308
(602) 888-6779
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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