Organization
ARIZONA VISITING NURSES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRE JON MARTELL (PRESIDENT)
(480) 313-9500
Entity
Organization
Contact information
Practice address
2659 W GUADALUPE RD, D-108, MESA, AZ 85202-7254
(480) 820-0000
(480) 775-6565
Mailing address
2659 W GUADALUPE RD, D-108, MESA, AZ 85202-7254
(480) 820-0000
(480) 775-6565
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA 5444
AZ
251F00000X
Home Infusion Agency
PENDING
AZ
Other
Enumeration date
08/17/2011
Last updated
09/12/2012
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