Organization
GINA'S ANGELS HOME HEALTHCARE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA L BROWN (OWNER)
(602) 773-6936
Entity
Organization
Contact information
Practice address
3282 S BOWMAN RD, APACHE JUNCTION, AZ 85119-3684
(602) 773-6936
(888) 897-8710
Mailing address
3282 S BOWMAN RD, APACHE JUNCTION, AZ 85119-3684
(602) 773-6936
(888) 897-8710
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033726
AHCCCS ALTCS
AZ
Enumeration date
06/09/2016
Last updated
04/19/2017
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