Organization
ARIZONA HEARTLANDS HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JIDELYN GAYONGALA (MANAGER)
(623) 330-5824
Entity
Organization
Contact information
Practice address
14626 W. WETHERSFIELD RD, SURPRISE, AZ 85379
(623) 330-5824
(888) 778-1251
Mailing address
14626 W. WETHERSFIELD RD, SURPRISE, AZ 85379
(623) 330-5824
(888) 778-1251
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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