Organization
ANNIE'S HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNIE K MAYSON OWNER (OWNER)
(602) 503-9139
Entity
Organization
Contact information
Practice address
8517 W CHICKASAW ST., TOLLESON, AZ 85353
(602) 503-9139
Mailing address
8517 W CHICKASAW ST., TOLLESON, AZ 85353
(602) 503-9139
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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