Organization
JANNIC HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONN D'MARTIN (EXECUTIVE DIRECTOR)
(602) 699-4758
Entity
Organization
Contact information
Practice address
12610 N CAVE CREEK ROAD, SUITE 113, PHOENIX, AZ 85022-6515
(602) 699-4758
(602) 699-4869
Mailing address
12601 N CAVE CREEK RD STE 113, PHOENIX, AZ 85022-6517
(602) 699-4758
(602) 699-4869
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
08/15/2023
Last updated
11/26/2024
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