Organization
NORTHSTAR HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD CAIN REA (ADMINISTRATOR)
(623) 236-3170
Entity
Organization
Contact information
Practice address
21640 N 19TH AVE STE C12, PHOENIX, AZ 85027-2727
(623) 236-3170
(602) 218-7051
Mailing address
21640 N 19TH AVE STE C12, PHOENIX, AZ 85027-2727
(623) 236-3170
(602) 218-7051
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
AZ
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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