Organization
HYDE PARK HOME HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN SHAFER (ADMINISTRATOR)
(623) 330-2838
Entity
Organization
Contact information
Practice address
14850 N SCOTTSDALE RD, #450-B, SCOTTSDALE, AZ 85254-2798
(480) 250-0304
(480) 237-8770
Mailing address
14850 N SCOTTSDALE RD, #450-B, SCOTTSDALE, AZ 85254-2798
(480) 250-0304
(480) 237-8770
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA5794
AZ
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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