Organization
INK HEALTHCARE GROUP LLC
Active
Parent organization
INK HEALTHCARE GROUP LLC
Other names
Ink Homecare and support services
Organization subpart
Yes
Provider details
NPI number
Legal business name
INK HEALTHCARE GROUP LLC
Authorized official
JOHN VAUGHN (OWNER)
(602) 218-5391
Entity
Organization
Contact information
Practice address
8020 N 12TH ST, PHOENIX, AZ 85020-3802
(602) 218-5391
Mailing address
PO BOX 26362, PHOENIX, AZ 85068-6362
(602) 218-5391
(602) 427-0088
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
L16865045
AZ
253Z00000X
In Home Supportive Care Agency
L16865045
AZ
Other
Enumeration date
08/10/2011
Last updated
02/08/2012
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