Organization
AJOOBA' CARE PARTNERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHAWNA A. CLAW B.A. (OWNER)
(928) 714-8495
Entity
Organization
Contact information
Practice address
GORMAN'S TRAILER COURT S1, HIGHWAY 191, CHINLE, AZ 86503
(928) 714-8495
Mailing address
PO BOX 3994, CHINLE, AZ 86503-3994
(928) 714-8495
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
509075
AZ
343900000X
Non-emergency Medical Transport (VAN)
509075
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
509075
—
AZ
Enumeration date
03/14/2011
Last updated
03/14/2011
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