Organization
IMANI HOME CARE LIVING LLC
Active
Other names
IMANI HOME CARE LIVING LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK MASOYA (MANAGING PARTNER)
(480) 276-8277
Entity
Organization
Contact information
Practice address
8539 W HAZELWOOD ST, PHOENIX, AZ 85037-1534
(480) 276-8277
(866) 837-9226
Mailing address
4425 W OLIVE AVE STE 144, GLENDALE, AZ 85302-3844
(623) 230-2464
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/13/2020
Last updated
09/11/2023
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