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Organization

NEW HORIZON HOME HEALTHCARE AGENCY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TISHA NICOLE ANDERSON (ADMINISTRATOR)
(414) 629-7061
Entity
Organization

Contact information

Practice address
21404 N VAN LOO DR, MARICOPA, AZ 85138-8661
(414) 629-7061
Mailing address
21404 N VAN LOO DR, MARICOPA, AZ 85138-8661
(414) 629-7061

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
374U00000X
Home Health Aide

Other

Enumeration date
09/30/2021
Last updated
10/08/2021
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