Organization
INFINITY OF PAGE HOME HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNNETTE L ADAMS BSW (SOLE MEMBER)
(928) 645-9862
Entity
Organization
Contact information
Practice address
910 COPPERMINE ROAD, SUITE B, PAGE, AZ 86040-3505
(928) 645-6862
(928) 645-9089
Mailing address
PO BOX 3505, PAGE, AZ 86040-3505
(928) 645-6862
(928) 645-9089
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
7076150-000
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
452801
—
AZ
Enumeration date
03/05/2012
Last updated
03/05/2012
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