Organization
SELLNER HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUDE MICHAEL SELLNER (OWNER)
(602) 314-8282
Entity
Organization
Contact information
Practice address
775 W DESERT CANYON DR, QUEEN CREEK, AZ 85243-3515
(602) 314-8282
(602) 324-7087
Mailing address
775 W DESERT CANYON DR, QUEEN CREEK, AZ 85243-3515
(602) 314-8282
(602) 324-7087
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
325338
AHCCCS ID#
AZ
Enumeration date
07/21/2008
Last updated
07/21/2008
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