Organization
LOS NINOS HOSPITAL INC
Active
Other names
Los Ninos Home Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
PERRY PETRILLI (CEO)
(602) 243-4231
Entity
Organization
Contact information
Practice address
1402 E SOUTH MOUNTAIN AVE, PHOENIX, AZ 85042-7925
(602) 424-9880
(602) 424-9884
Mailing address
1402 E. SOUTH MOUNTAIN AVENUE, PHOENIX, AZ 85042
(602) 243-4231
(602) 323-5988
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
488779
—
AZ
Enumeration date
10/04/2006
Last updated
02/13/2025
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