Organization
GRACIOUS HEARTS HOME CARE OF ARIZONA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMEKA IDUSUYI (ADMINISTRATOR)
(928) 222-2250
Entity
Organization
Contact information
Practice address
4539 N 22ND ST # 8259, PHOENIX, AZ 85016-4639
(928) 222-2250
(713) 383-6438
Mailing address
4539 N 22ND ST # 8259, PHOENIX, AZ 85016-4639
(928) 222-2250
(713) 383-6438
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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