Organization
INDEPENDENCE HOME REMODELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL K RYAN (PRESIDENT)
(602) 908-3380
Entity
Organization
Contact information
Practice address
16035 N 23RD PL, PHOENIX, AZ 85022-3427
(602) 908-3380
Mailing address
16035 N 23RD PL, PHOENIX, AZ 85022-3427
(602) 908-3380
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
ROC# 246007
AZ
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
Update your record
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