Organization
LUXURY MANOR LLC
Active
Other names
Luxury Manor HomeCare
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA ANN MILLER (OWNER)
(602) 461-5641
Entity
Organization
Contact information
Practice address
8720 W ADAMS ST, TOLLESON, AZ 85353-1347
(602) 461-5641
Mailing address
8720 W ADAMS ST, TOLLESON, AZ 85353-1347
(602) 461-5641
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
AZ
Enumeration date
09/18/2019
Last updated
09/18/2019
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