Organization
MONTEVISTA HEALTH SERVICES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN SELLERS (PRESIDENT)
(602) 918-8012
Entity
Organization
Contact information
Practice address
7971 N 53RD AVE, # 106, GLENDALE, AZ 85301-8652
(602) 918-8012
(623) 937-8334
Mailing address
22093 N 178TH AVE, SURPRISE, AZ 85387-9703
(602) 918-8012
(623) 937-8334
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/22/2014
Last updated
03/22/2014
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