Organization
HONORA HEALTHCARE SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMSON FOLORUNSO OMOSOWON RN (PROGRAM DIRECTOR)
(480) 335-3099
Entity
Organization
Contact information
Practice address
60 E RIO SALADO PKWY, SUITE 900, TEMPE, AZ 85281-9124
(602) 330-3472
(888) 818-4521
Mailing address
60 E RIO SALADO PKWY, SUITE 900, TEMPE, AZ 85281-9124
(602) 330-3472
(888) 818-4521
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
RN156392
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
658864
—
AZ
05
—
RN156392
—
AZ
Enumeration date
06/03/2014
Last updated
06/03/2014
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