Organization
ARIZONA CARES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOENATHAN MITCHELL EDWARDS (PRESIDENT)
(602) 456-4442
Entity
Organization
Contact information
Practice address
1616 N LITCHFIELD RD STE 240, GOODYEAR, AZ 85395-1288
(623) 244-1649
Mailing address
1616 N LITCHFIELD RD STE 240, GOODYEAR, AZ 85395-1288
(623) 244-1649
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003527
—
AZ
Enumeration date
05/06/2022
Last updated
05/10/2022
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