Organization
ARIZONA SENIOR HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELLISA MARIE TAYLOR D.O.N (DIRECTOR OF NURSING)
(928) 425-4663
Entity
Organization
Contact information
Practice address
2123 SUNSET PT STE A, MIAMI, AZ 85539-1347
(928) 425-4663
(800) 832-9131
Mailing address
2123 SUNSET PT STE A, MIAMI, AZ 85539-1347
(928) 425-4663
(800) 832-9131
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA5649
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548529373
NPI
AZ
Enumeration date
04/15/2016
Last updated
04/15/2016
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