Organization
CHEVICK FAMILY HOMECARE LLC
Active
Other names
Chevick Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR OGOTI (PRESIDENT)
(480) 508-4924
Entity
Organization
Contact information
Practice address
600 E BASELINE RD, TEMPE, AZ 85283-1247
(480) 508-4924
Mailing address
600 E BASELINE RD, TEMPE, AZ 85283-1247
(480) 508-4924
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
OTC8923
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
384745
—
AZ
01
—
OTC8923
DHS LICENCE
AZ
Enumeration date
07/10/2018
Last updated
07/10/2018
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