Organization
ARIZONA PRIVATE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY MARIE ANTONIELLO RN/OWNER (RN/OWNER)
(980) 814-8181
Entity
Organization
Contact information
Practice address
2659 W. GUADALUPE, SUITE 107, MESA, AZ 85202-6412
(480) 814-8181
(480) 820-4141
Mailing address
2266 S DOBSON RD, SUITE #200, MESA, AZ 85202-6412
(480) 814-8181
(480) 814-8787
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
AZ
251E00000X
Home Health Agency
—
—
Other
Enumeration date
04/27/2007
Last updated
12/09/2011
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