Organization
REHEMA HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ZEITUNI JELAGAT KIPROTICH (ADMINISTRATOR)
(623) 755-4931
Entity
Organization
Contact information
Practice address
12236 N 49TH DR, GLENDALE, AZ 85304-2214
(623) 755-4931
(602) 843-3473
Mailing address
12236 N 49TH DR, GLENDALE, AZ 85304-2214
(623) 755-4931
(602) 843-3473
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH4511
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BH4511
—
AZ
Enumeration date
12/10/2014
Last updated
12/10/2014
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