Organization
ARIZONA HOME CARE LLC
Active
Other names
Arizona Home Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON ALLEN SMIDT (COO)
(480) 246-3968
Entity
Organization
Contact information
Practice address
1626 S EDWARD DRIVE, TEMPE, AZ 85281
(602) 252-5000
(602) 323-5070
Mailing address
1626 S EDWARD DRIVE, TEMPE, AZ 85281
(602) 252-5000
(602) 323-5070
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA0268
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
382747-01
—
AZ
Enumeration date
02/01/2006
Last updated
10/21/2015
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