Organization
PETRENELLA HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMARCUS MARTIN (OWNER)
(480) 343-3970
Entity
Organization
Contact information
Practice address
843 S LONGMORE APT 1123, MESA, AZ 85202-3157
(480) 343-3970
Mailing address
843 S LONGMORE APT 1123, MESA, AZ 85202-3157
(480) 343-3970
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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