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Organization

HOMELY CARE

Active
Parent organization
HOMELY CARE LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
HOMELY CARE LLC
Authorized official
MAYI NANNYONDO (ADMINISTRATOR)
(818) 477-7122
Entity
Organization

Contact information

Practice address
7804 S 71ST AVE, LAVEEN, AZ 85339-3443
(818) 477-7122
Mailing address
7804 S 71ST AVE, LAVEEN, AZ 85339-3443
(818) 477-7122

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
08/27/2024
Last updated
08/27/2024
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