Organization
DESPAIN SENIOR CARE LLC
Active
Other names
Home Instead Senior Care
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN DESPAIN (OWNER)
(480) 500-6550
Entity
Organization
Contact information
Practice address
17100 E SHEA BLVD STE 530, FOUNTAIN HILLS, AZ 85268-6661
(480) 500-6550
(480) 664-4295
Mailing address
17100 E SHEA BLVD STE 530, FOUNTAIN HILLS, AZ 85268-6661
(480) 500-6550
(480) 664-4295
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
AZ
253Z00000X
In Home Supportive Care Agency
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
346614
—
AZ
Enumeration date
07/05/2018
Last updated
07/05/2018
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