Organization
BOWIE HEALTH GROUP, INC.
Active
Other names
MD Home Assist
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVE HILDEBRANDT (CEO)
(602) 266-9971
Entity
Organization
Contact information
Practice address
7310 N 16TH ST, SUITE 165, PHOENIX, AZ 85020-5258
(602) 266-9971
Mailing address
7310 N 16TH ST, SUITE 165, PHOENIX, AZ 85020-5258
(602) 266-9971
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
482753
—
AZ
05
—
875799
—
AZ
Enumeration date
04/26/2007
Last updated
05/15/2014
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