Organization
ASM HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASIM KHOGALI (MANAGER)
(336) 255-5507
Entity
Organization
Contact information
Practice address
854 E MORELOS ST, CHANDLER, AZ 85225-6465
(336) 255-5507
Mailing address
6326 S 24TH PL, PHOENIX, AZ 85042-5967
(336) 255-5507
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
04/17/2023
Last updated
02/05/2024
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