Organization
ESTRELLA HOME HEALTH CARE 2, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDEL ADRAIN AKINS (DIRECTOR OF NURSING)
(623) 792-7282
Entity
Organization
Contact information
Practice address
2990 E NORTHERN AVE STE C101, PHOENIX, AZ 85028-4839
(623) 792-7282
(623) 792-7720
Mailing address
2990 E NORTHERN AVE STE C101, PHOENIX, AZ 85028-4839
(623) 792-7282
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
430582
—
AZ
Enumeration date
04/26/2017
Last updated
01/07/2019
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