Organization
VALLEY HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDINE T MANGA (ADMINISTRATOR)
(623) 842-0900
Entity
Organization
Contact information
Practice address
23460 N 19TH AVE STE 150, PHOENIX, AZ 85027
(623) 842-0900
(623) 842-0123
Mailing address
23460 N 19TH AVE STE 150, PHOENIX, AZ 85027-2166
(623) 842-0900
(623) 842-0123
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA3923
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200370
AHCCCS ID
AZ
01
—
AZ0445420
BLUE CROSS BLUE SHIELD
AZ
01
—
HHA3923
STATE LICENSE NUMBER
AZ
Enumeration date
07/01/2006
Last updated
03/02/2025
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