Organization
FOCUS CARE OF ARIZONA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIMMY AGHAULOR (PRESIDENT)
(480) 315-3707
Entity
Organization
Contact information
Practice address
4350 E CAMELBACK RD, SUITE A110, PHOENIX, AZ 85018-2701
(602) 955-2221
(602) 955-1899
Mailing address
4350 E CAMELBACK RD, SUITE A110, PHOENIX, AZ 85018-2701
(602) 955-2221
(602) 955-1899
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
517250
MEDICAID
AZ
Enumeration date
05/11/2009
Last updated
07/14/2011
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