Organization
SWEETWATER CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW BJORK (COO)
(480) 309-1335
Entity
Organization
Contact information
Practice address
1775 W UNIVERSITY DR STE 127, TEMPE, AZ 85281-3254
(480) 309-1335
Mailing address
1775 W UNIVERSITY DR STE 127, TEMPE, AZ 85281-3254
(480) 309-1335
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
Primary
—
—
385HR2050X
Respite Care Camp
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
09/24/2019
Last updated
01/01/2021
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