Organization
ASPEN HOMECARE SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULINE PATRICIA BUNDGAARD (OWNER MANAGER)
(480) 264-5051
Entity
Organization
Contact information
Practice address
20 S POWER RD, SUITE 103, MESA, AZ 85206-9800
(480) 264-5051
(480) 264-5052
Mailing address
20 S POWER RD, SUITE 103, MESA, AZ 85206-9800
(480) 264-5051
(480) 264-5052
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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